Active NPI
Mountain State Home Health Care Inc
- Nursing Care Agency
- Beckley, WV
National Provider Identifier
1235336298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- MOUNTAIN STATE HOME HEALTH CARE INC
- Practice address
- 254 George St
Beckley, WV 25801-2641 - Phone
- (304) 256-8201
- Fax
- (304) 256-8204
- NPI assigned
- Jul 2, 2007
- Last updated
- Aug 16, 2007
- 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
- Mrs. Valarie L Phillips
- Title
- President
- Phone
- (304) 256-8201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | Primary |
Addresses
Primary practice location
254 George St
Beckley, WV 25801-2641
Mailing address
254 George St
Beckley, WV 25801-2641
Phone (304) 256-8201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031273000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Mountain State Home Health Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Beckley, WV
- NPI 1770682700
Locations
254 George St
Beckley, WV 25801
Phone (304) 255-0620
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Personal Care Attendant
- Beckley, WV
- NPI 1821699075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1235336298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 GEORGE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012641",
"telephone_number": "304-256-8201",
"fax_number": "304-256-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 GEORGE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012641",
"telephone_number": "304-256-8201",
"fax_number": "304-256-8204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN STATE HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "VALARIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-256-8201",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031273000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
- Laura B Moten
- Tammy Maxine Moten
- Mountain State Counseling Services, LLC
- Mountain State ENT & Facial Plastic Surgery, Inc (Healing Springs Medical Spa)
- Mountain State ENT & Facial Plastic Surgery, Inc
- Mountain State Home Health Care, Inc.
- Mountain State Vascular, Inc.
- Mountaineer Cardiovascular Care Inc
- Mountaineer Family Medicine Inc
- Mountaineer Home Medical, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.