Webster Nursing & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

107 Issued in WV

Legal business name

WEBSTER NURSING & REHABILITATION CENTER LLC

Practice address

411 Erbacon Road
Cowen, WV 26206-0989

Phone

(304) 226-5301

Fax

(304) 226-5366

NPI assigned

Dec 28, 2006

Last updated

Nov 19, 2009By 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

Todd Jones

Title

Executive Vice President

Phone

(304) 344-1623

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1225194079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "COWEN",
            "state": "WV",
            "postal_code": "262060989",
            "telephone_number": "304-226-5301",
            "fax_number": "304-226-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ERBACON ROAD",
            "city": "COWEN",
            "state": "WV",
            "postal_code": "262060989",
            "telephone_number": "304-226-5301",
            "fax_number": "304-226-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "304-344-1623"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004277000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice L. Tyler
• Ashlea Tyree
• Jackoline Waugh
• Webster County Memorial Hospital (Cowen Pharmacy)
• Webster Memorial Hospital, Inc (Webster Memorial Hospital Prescription Center, Cowen)
• Webster SNF LLC (Webster Rehab & Nursing Center)
• Anissa Nichole Weese, MS, CCC-SLP
• Rebecca Whittington
• Kayla Williams
• Lacey Williams

• Skilled Nursing Facility in Cowen, WV
• Providers in Cowen, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.