Organization Active NPI

Berkeley County Committee on Aging, Inc.

Doing business as Berkeley Senior Services

  • Contractor
  • Martinsburg, WV
National Provider Identifier
1285779322
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
036969 Issued in WV
Legal business name
BERKELEY COUNTY COMMITTEE ON AGING, INC.
Doing business as
Berkeley Senior Services
Practice address
217 N High St
Martinsburg, WV 25401-4419
Phone
(304) 263-8873
Fax
(304) 263-6598
NPI assigned
Feb 20, 2007
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Amy Orndoff
Title
Director
Phone
(304) 263-8873

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
Adult Day Care Clinic/Center 261QA0600X NU
Contractor 171W00000X 036969 WV Primary
In Home Supportive Care Agency 253Z00000X NU
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

217 N High St
Martinsburg, WV 25401-4419

Mailing address

217 N High St
Martinsburg, WV 25401-4419
Phone (304) 263-8873

Other identifiers 3

IdentifierTypeStateIssuer
0030536001MedicaidWV
0030536002MedicaidWV
0030536000MedicaidWV

Other names 1

  • Berkeley Senior Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Berkeley Co Comm on Aging4 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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1285779322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N HIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014419",
            "telephone_number": "304-263-8873",
            "fax_number": "304-263-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N HIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014419",
            "telephone_number": "304-263-8873",
            "fax_number": "304-263-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY COUNTY COMMITTEE ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "ORNDOFF",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-263-8873"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WV",
            "license": "036969",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030536001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030536002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030536000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.