Wayne Nursing & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110 Issued in WV

Legal business name

WAYNE NURSING & REHABILITATION CENTER LLC

Practice address

RR 1 Box 1372
Wayne, WV 25570-9724

Phone

(304) 697-7007

Fax

(304) 697-4892

NPI assigned

Dec 28, 2006

Last updated

Nov 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Jones

Title

Executive Vice President

Phone

(304) 344-1623

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ambryan L White, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Huntington, WV
  • NPI 1598979320
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1255497194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1372",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255709724",
            "telephone_number": "304-697-7007",
            "fax_number": "304-697-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1372",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255709724",
            "telephone_number": "304-697-7007",
            "fax_number": "304-697-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "304-344-1623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004277000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne County Board of Education
• Wayne County Board of Education
• Wayne County Health Department
• Wayne County Health Department
• Wayne Dental - Valley Health
• Wayne SNF LLC (Wayne Rehab & Nursing Center)
• Wayne Volunteer Fire Department
• Ashleigh White
• Cheyann Marie White
• Joanna Wiley

• Skilled Nursing Facility in Wayne, WV
• Providers in Wayne, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.