Active NPI
Glenmark Limited Liability Company I
Doing business as Valley Center
- Skilled Nursing Facility
- South Charleston, WV
National Provider Identifier
1225074081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 128
- Legal business name
- GLENMARK LIMITED LIABILITY COMPANY I
- Doing business as
- Valley Center
- Practice address
- 1000 Lincoln Dr
South Charleston, WV 25309-2304 - Phone
- (610) 925-4436
- Fax
- (610) 925-4351
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Dropeskey
- Title
- Corporate Manager
- Phone
- (610) 925-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 128 | WV | Primary |
Addresses
Primary practice location
1000 Lincoln Dr
South Charleston, WV 25309-2304
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2507257 | Other | AETNA-HMO | |
| 0003055000 | Medicaid | WV | |
| 000327692 | Other | MOUNTAIN STATE BC/BS | |
| 282183 | Other | UNITED - MAMSI |
Other names 1
- Valley Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1225074081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LINCOLN DR",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253092304",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENMARK LIMITED LIABILITY COMPANY I",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "DROPESKEY",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "CORPORATE MANAGER",
"authorized_official_telephone_number": "610-925-4231"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "2507257",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0003055000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BC/BS",
"identifier": "000327692",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED - MAMSI",
"identifier": "282183",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.