Ncgcare Acquisition, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

NCGCARE ACQUISITION, LLC

Practice address

203 Lower Overlook Dr
Hurricane, WV 25526-9025

Phone

(304) 302-2078

Fax

(304) 302-7260

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Hannah Catherine Mayo

Title

Financial Analyst

Phone

(304) 208-3715

Specialties & licenses 1

Addresses

Other names 1

• Starlight Behavioral Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ncgcare Acquisition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ncgcare Acquisition, LLC

  • Psychiatry Physician
  • Huntington, WV
  • NPI 1104348556
  NPD tax ID

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1225685498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 CHERRY LAWN RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052032",
            "telephone_number": "304-302-2078",
            "fax_number": "304-302-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LOWER OVERLOOK DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269025",
            "telephone_number": "304-302-2078",
            "fax_number": "304-302-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCGCARE ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "FINANCIAL ANALYST",
        "authorized_official_telephone_number": "304-208-3715"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• My Family Medical, LLC
• Lana Myers
• Mystic Paradise LLC
• Natural Healing Massage, LLC
• Jodi L Nay, RN
• Susan Neace
• John Wallace Neville Jr., MD
• Crista Nicole Nezhni, MA, LPC
• Nicholas a. Taylor, DDS, Ms, PLLC
• Jacqueline Nicholas

• Intellectual Disabilities Intermediate Care Facility in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Intellectual Disabilities Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.