Morgantown SNF Acquisition LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MORGANTOWN SNF ACQUISITION LLC

Doing business as

Mapleshire Outpatient Therapy Center

Practice address

30 Mon General Dr
Morgantown, WV 26505-2853

Phone

(304) 285-2720

Fax

(304) 285-2727

NPI assigned

Oct 26, 2016

Last updated

Jan 12, 2021By 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. Lawrence A Pack

Title

Manager

Phone

(304) 343-1950

Specialties & licenses 1

Addresses

Other names 1

• Mapleshire Outpatient Therapy Center Doing business as

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1205388295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042935",
            "telephone_number": "304-343-1950",
            "fax_number": "304-343-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MON GENERAL DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052853",
            "telephone_number": "304-285-2720",
            "fax_number": "304-285-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN SNF ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-343-1950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mapleshire Outpatient Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mapleshire Outpatient Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgantown Physical Therapy Associates, Inc. (HealthWorks Rehab and Fitness)
• Morgantown Plastic Surgery Associates (McClellan Plastic Surgery)
• Morgantown Private Duty LLC (Right At Home)
• Morgantown Pulmonary Associates PC
• Morgantown Radiology Assoc PC
• Morgantown SNF Acquisition LLC (Stonerise Morgantown)
• Morgantown SNF LLC (Morgantown Rehabilitation & Healthcare Center)
• Morgantown Sober Living, Inc.
• Morgantown Surgical Associates Inc
• Morgantown Urologic Associates, Inc

• Physical Therapy Clinic/Center in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

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