Organization Active NPI

Committee on Aging Randolph Co

  • Home Health Agency
  • Elkins, WV
National Provider Identifier
1285753061
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMITTEE ON AGING RANDOLPH CO
Practice address
5TH Street & Railroad Ave
Elkins, WV 26241
Phone
(304) 636-4747
Fax
(304) 637-4991
NPI assigned
Mar 29, 2007
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
Sharon Rockwell
Title
Fiscal Operations Manager
Phone
(304) 636-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5TH Street & Railroad Ave
Elkins, WV 26241

Mailing address

PO Box 727
Elkins, WV 26241-0727
Phone (304) 636-4747

Other identifiers 1

IdentifierTypeStateIssuer
0030580002MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Committee on Aging Randolph Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285753061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262410727",
            "telephone_number": "304-636-4747",
            "fax_number": "304-637-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH STREET & RAILROAD AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-636-4747",
            "fax_number": "304-637-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTEE ON AGING RANDOLPH CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "FISCAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "304-636-4747"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030580002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, 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.