NPIMap

Organization Active NPI

Mason County Action Group, Inc.

  • Home Health Agency
  • Point Pleasant, WV
National Provider Identifier
1225486764
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MASON COUNTY ACTION GROUP, INC.
Practice address
101 2ND St
Point Pleasant, WV 25550-1012
Phone
(304) 675-2369
Fax
(304) 675-2069
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Bonnie Nibert
Title
Fiscal Officer
Phone
(304) 675-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 2ND St
Point Pleasant, WV 25550-1012

Mailing address

101 2ND St
Point Pleasant, WV 25550-1012
Phone (304) 675-2369

Other identifiers 3

IdentifierTypeStateIssuer
1902932197MedicaidWV
143100006MedicaidWV
143100005MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Mason County Action Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1225486764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501012",
            "telephone_number": "304-675-2369",
            "fax_number": "304-675-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501012",
            "telephone_number": "304-675-2369",
            "fax_number": "304-675-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON COUNTY ACTION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "NIBERT",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "304-675-2369"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902932197",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143100006",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143100005",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.