NPIMap

Organization Active NPI

Elder Aide Services

  • Home Health Agency
  • Charleston, WV
National Provider Identifier
1205044765
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELDER AIDE SERVICES
Practice address
1599 2ND Ave
Charleston, WV 25387-2514
Phone
(304) 344-0586
Fax
(304) 344-0587
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Mr. Eric Allen Hicks
Title
Owner
Phone
(304) 344-0586

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

1599 2ND Ave
Charleston, WV 25387-2514

Mailing address

PO Box 20112
Charleston, WV 25362-1112
Phone (304) 344-0586

Other practice location 1

5185 US 60
Huntington, WV 25701
Phone (304) 344-0586

Other practice location 2

130 George St
Beckley, WV 25801-2648
Phone (304) 929-2670

Other practice location 3

313 Locust St
Princeton, WV 24740-3625
Phone (304) 344-0586

Other identifiers 1

IdentifierTypeStateIssuer
3810002291MedicaidWV

Other names 1

  • Right at Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elder Aide Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1205044765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20112",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253621112",
            "telephone_number": "304-344-0586",
            "fax_number": "304-344-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 2ND AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872514",
            "telephone_number": "304-344-0586",
            "fax_number": "304-344-0587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5185 US 60",
            "address_purpose": "LOCATION",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "country_code": "US",
            "telephone_number": "304-344-0586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 George St",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012648",
            "country_code": "US",
            "telephone_number": "304-929-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Locust St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247403625",
            "country_code": "US",
            "telephone_number": "304-344-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELDER AIDE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-02-12",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-344-0586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002291",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.