NPIMap

Organization Active NPI

Essential Needs Homecare

  • In Home Supportive Care Agency
  • Fairmont, WV
National Provider Identifier
1205695079
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ESSENTIAL NEEDS HOMECARE
Doing business as
Essential Needs Personal Care
Practice address
16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone
(304) 816-3687
Fax
(304) 816-3737
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Nancy J Collins
Title
Owner
Phone
(304) 816-3687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

16 Mountain Park Dr
Fairmont, WV 26554-8992

Mailing address

16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone (304) 816-3687

Other names 1

  • Essential Needs Personal Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Essential Needs Homecare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

16 Mountain Park Dr
White Hall, WV 26554
Phone (304) 816-3687

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1205695079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL NEEDS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-816-3687"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Needs Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.