NPIMap

Organization Active NPI

Pendleton Senior & Family Services, Inc.

  • Homemaker
  • Franklin, WV
National Provider Identifier
1285850255
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
046616 Issued in WV
Legal business name
PENDLETON SENIOR & FAMILY SERVICES, INC.
Practice address
231 Mill Run Rd
Franklin, WV 26807
Phone
(304) 358-2421
Fax
(304) 358-2422
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Ms. Carolyn Diane Wells
Title
Executive Director
Phone
(304) 358-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X 046616 WV Primary

Addresses

Primary practice location

231 Mill Run Rd
Franklin, WV 26807

Mailing address

231 Mill Run Rd
Franklin, WV 26807
Phone (304) 358-2421

Other identifiers 3

IdentifierTypeStateIssuer
0030712000MedicaidWV
0030712001MedicaidWV
9030120000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Pendleton Senior Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1285850255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MILL RUN RD",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "26807",
            "telephone_number": "304-358-2421",
            "fax_number": "304-358-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MILL RUN RD",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "26807",
            "telephone_number": "304-358-2421",
            "fax_number": "304-358-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON SENIOR & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-358-2421",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "WV",
            "license": "046616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030712000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030712001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030120000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.