NPIMap

Organization Active NPI

The Council of Senior Citizens of Gilmer County, Inc-Pca

  • In Home Supportive Care Agency
  • Glenville, WV
National Provider Identifier
1205253069
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1035-9481 Issued in WV
Legal business name
THE COUNCIL OF SENIOR CITIZENS OF GILMER COUNTY, INC-PCA
Practice address
720 N Lewis St
Glenville, WV 26351-1319
Phone
(304) 462-5761
Fax
(304) 462-8239
NPI assigned
Mar 18, 2014
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Sallie Mathess
Title
Executive Director
Phone
(304) 462-5761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1035-9481 WV Primary

Addresses

Primary practice location

720 N Lewis St
Glenville, WV 26351-1319

Mailing address

720 N Lewis St
Glenville, WV 26351-1319
Phone (304) 462-5761

National Provider Directory

National Provider Directory
Tax ID family
Council of Senior Citizens of Gilmer Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1205253069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LEWIS ST",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511319",
            "telephone_number": "304-462-5761",
            "fax_number": "304-462-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LEWIS ST",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511319",
            "telephone_number": "304-462-5761",
            "fax_number": "304-462-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNCIL OF SENIOR CITIZENS OF GILMER COUNTY, INC-PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MATHESS",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-462-5761"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "1035-9481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.