Organization Active NPI

Northern WV Home Health LLC

  • Home Health Agency
  • Berkeley Springs, WV
National Provider Identifier
1144205170
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHERN WV HOME HEALTH LLC
Practice address
109 War Memorial Dr
Berkeley Springs, WV 25411-1743
Phone
(304) 788-1285
Fax
(304) 788-2194
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Paul Applewood, MBA
Title
VP &Cfo
Phone
(304) 258-6523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

109 War Memorial Dr
Berkeley Springs, WV 25411-1743

Mailing address

333 W Cork St
Suite 135
Winchester, VA 22601-3870
Phone (540) 536-5200

Other identifiers 1

IdentifierTypeStateIssuer
0001377002MedicaidWV

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

333 W Cork St
Unit 135
Winchester, VA 22601
Phone (540) 436-5200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1144205170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W CORK ST",
            "address_2": "SUITE 135",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013870",
            "telephone_number": "540-536-5200",
            "fax_number": "540-536-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WAR MEMORIAL DR",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111743",
            "telephone_number": "304-788-1285",
            "fax_number": "304-788-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WV HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "APPLEWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "VP &CFO",
        "authorized_official_telephone_number": "304-258-6523",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001377002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.