Organization Active NPI

Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Princeton, WV
National Provider Identifier
1245395664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
301 Issued in WV
Legal business name
RESCARE
Practice address
226 Church LN
Princeton, WV 24740-2158
Phone
(304) 425-2069
Fax
(304) 425-5991
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa Jones
Title
Executive Director
Phone
(304) 431-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 301 WV Primary

Addresses

Primary practice location

226 Church LN
Princeton, WV 24740-2158

Mailing address

PO Box 1560
Princeton, WV 24740-1560
Phone (304) 487-0788

Other identifiers 1

IdentifierTypeStateIssuer
0005258010MedicaidWV

Other names 1

  • VOCA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rescare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

134 Rolling Hills Dr
Princeton, WV 24740
Phone (304) 425-2069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245395664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401560",
            "telephone_number": "304-487-0788",
            "fax_number": "304-487-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CHURCH LN",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402158",
            "telephone_number": "304-425-2069",
            "fax_number": "304-425-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-431-3533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005258010",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VOCA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.