Active NPI
Commission on Aging Family Services
- Community/Behavioral Health Agency
- Petersburg, WV
National Provider Identifier
1235557018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 10359713
- Legal business name
- COMMISSION ON AGING FAMILY SERVICES
- Practice address
- 111 Virginia Ave
Petersburg, WV 26847-1713 - Phone
- (304) 257-1666
- Fax
- (304) 257-9145
- NPI assigned
- Mar 31, 2014
- 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
- Darlene E Evans
- Title
- Executive Director
- Phone
- (304) 257-1666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 10359713 | WV | Primary |
Addresses
Primary practice location
111 Virginia Ave
Petersburg, WV 26847-1713
Mailing address
111 Virginia Ave
Petersburg, WV 26847-1713
Phone (304) 257-1666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030591001 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Commission on Aging Family Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Petersburg, WV
- NPI 1174721963
-
- Case Management Agency
- Petersburg, WV
- NPI 1780853622
-
- Case Management Agency
- Petersburg, WV
- NPI 1508205436
-
- Community/Behavioral Health Agency
- Petersburg, WV
- NPI 1730529462
Locations
111 Virginia Ave
Petersburg, WV 26847
Phone (304) 257-1666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1235557018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 VIRGINIA AVE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268471713",
"telephone_number": "304-257-1666",
"fax_number": "304-257-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 VIRGINIA AVE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268471713",
"telephone_number": "304-257-1666",
"fax_number": "304-257-9145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMISSION ON AGING FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "DARLENE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "304-257-1666"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WV",
"license": "10359713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030591001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.