Active NPI
Valley Haven Geriatric Center Inc
- Skilled Nursing Facility
- Wellsburg, WV
National Provider Identifier
1164410775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 113
- Legal business name
- VALLEY HAVEN GERIATRIC CENTER INC
- Practice address
- Rd#2 Box 44
Wellsburg, WV 26070-9505 - Phone
- (304) 394-5322
- Fax
- (304) 394-1242
- NPI assigned
- Oct 7, 2005
- Organization subpart
- Yes
- Parent organization
- VALLEY HAVEN GERIATRIC CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L Anderson
- Title
- President-Administrator
- Phone
- (304) 394-5322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 113 | WV | Primary |
Addresses
Primary practice location
Rd#2 Box 44
Wellsburg, WV 26070-9505
Mailing address
Rd#2 Box 44
Wellsburg, WV 26070-9505
Phone (304) 394-5322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003883000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Part of
- Valley Haven Geriatric Center Inc
Locations
70 Valley Haven Dr
Wellsburg, WV 26070
Phone (304) 394-5322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321920000000",
"number": "1164410775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RD#2 BOX 44",
"city": "WELLSBURG",
"state": "WV",
"postal_code": "260709505",
"telephone_number": "304-394-5322",
"fax_number": "304-394-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RD#2 BOX 44",
"city": "WELLSBURG",
"state": "WV",
"postal_code": "260709505",
"telephone_number": "304-394-5322",
"fax_number": "304-394-1242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HAVEN GERIATRIC CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VALLEY HAVEN GERIATRIC CENTER INC",
"enumeration_date": "2005-10-07",
"last_updated": "2011-11-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT-ADMINISTRATOR",
"authorized_official_telephone_number": "304-394-5322",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0003883000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.