Rescare West Virginia, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

319 Issued in WV

Legal business name

RESCARE WEST VIRGINIA, INC

Practice address

201 S Water St
Martinsburg, WV 25401-4241

Phone

(304) 263-4601

Fax

(304) 263-5701

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Landis

Title

Executive Director

Phone

(540) 858-2572

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Res-Care Health Services148 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Madison, WV
  • NPI 1457415341
  NPD tax ID

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184787251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "251 GORE RD",
            "city": "GORE",
            "state": "VA",
            "postal_code": "226370130",
            "telephone_number": "540-858-2572",
            "fax_number": "540-858-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-4601",
            "fax_number": "304-263-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE WEST VIRGINIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-858-2572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002990002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rem West Virginia, LLC
• Rem West Virginia, LLC
• Robert Thomas Renaldo
• Britt Renner
• Melissa Renner, RN
• Rescare West Virginia, Inc
• Rescare West Virginia, Inc.
• Roberto Cisneros Reyna, M.D.
• Aaron Reynolds
• April R Reynolds, RN

• Intellectual Disabilities Intermediate Care Facility in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Intellectual Disabilities Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.