Council on Aging, Inc.
Organization Active NPI In Home Supportive Care Agency · Itmann, WV
NPI 1265859482 · NPPES record last updated Mar 26, 2014
Key facts
- NPI
- 1265859482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- WVM0004468979 (WV)
- Legal business name
- COUNCIL ON AGING, INC.
- Practice address
- RT 10 Old Itmann Grade School
Itmann, WV 24847 - Phone
- (304) 294-8800
- Fax
- (304) 294-8803
- NPI assigned
- Mar 26, 2014
- Organization subpart
- No
Authorized official
- Name
- Jennifer Gibson
- Title
- Executive Director
- Phone
- (304) 294-8800
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Council on Aging Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | WVM0004468979 | WV | Yes |
Addresses
Primary practice location
RT 10 Old Itmann Grade School
Itmann, WV 24847
Mailing address
PO Box 130
Itmann, WV 24847-0130
Phone (304) 294-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810022730 | Medicaid | WV |
Other providers in Itmann, WV
- All Care Home and Community Services
- All Care Home and Community Services, Inc.
- All Care Home and Community Services, Inc.
- Council on Aging
- Council on Aging, Inc.
- Council on Aging, Inc.
- Linda Kennedy
- Cynthia Jane Lester
All providers in Itmann, WV · In Home Supportive Care Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.