Braxton County Senior Citizens Center, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.

Practice address

23 Senior Center Dr
Sutton, WV 26601-9581

Phone

(304) 765-4090

Fax

(307) 765-4095

NPI assigned

Apr 17, 2012

Organization subpart

No

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

Authorized official

Name

Gary Allen Rexroad

Title

Executive Director

Phone

(304) 765-4090

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Braxton County Senior Citizens Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Braxton County Senior Citizens Center, Inc.

  • Home Health Agency
  • Sutton, WV
  • NPI 1740325604
  NPD tax ID
• Braxton County Senior Citizens Center, Inc.

  • Personal Care Attendant
  • Sutton, WV
  • NPI 1740609973
  NPD tax ID
• Braxton County Senior Citizens Center, Inc.

  • Non-emergency Medical Transport (VAN)
  • Sutton, WV
  • NPI 1922427152
  NPD tax ID

Locations

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1265799183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SENIOR CENTER DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019581",
            "telephone_number": "304-765-4090",
            "fax_number": "307-765-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SENIOR CENTER DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019581",
            "telephone_number": "304-765-4090",
            "fax_number": "307-765-4095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Senior Center Dr",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "WV",
            "postal_code": "266019581",
            "country_code": "US",
            "telephone_number": "304-765-4090",
            "fax_number": "307-765-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "REXROAD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-765-4090"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030549000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa J Bragg
• Braxton County Board of Education
• Braxton County Board of Education
• Braxton County Board of Health
• Braxton County Emergency Ambulance Service Authority
• Braxton County Senior Citizens Center, Inc.
• Braxton County Senior Citizens Center, Inc.
• Braxton County Senior Citizens Center, Inc.
• Braxton Health Care Center LLC
• Braxton SNF LLC

• All providers in Sutton, WV
• In Home Supportive Care Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.