Active NPI
Jan-Care Ambulance of Fayette County Inc
- Land Ambulance
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- JAN-CARE AMBULANCE OF FAYETTE COUNTY INC
- Practice address
- 117 S Fayette St
Beckley, WV 25801-4606 - Phone
- (304) 255-2931
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph T Cornett
- Title
- Vice President
- Phone
- (304) 255-2931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
117 S Fayette St
Beckley, WV 25801-4606
Mailing address
PO Box 2414
Beckley, WV 25802-2414
Phone (304) 255-2931
Other practice location 1
1010 Main St E
Oak Hill, WV 25901-3128
Phone (304) 255-2931
Other practice location 2
134 4th Ave
Montgomery, WV 25136-2225
Phone (304) 255-2931
Other practice location 3
104 East Main Street
Ansted, WV 25812
Phone (304) 255-2931
Other practice location 4
215 N Court St
Fayetteville, WV 25840-1211
Phone (304) 255-2931
Other practice location 5
322 Main Street
Apt 4
Gauley Bridge, WV 25085
Phone (304) 255-2931
Other practice location 6
428 Main St
Mount Hope, WV 25880-1150
Phone (304) 255-2931
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0193932 | Medicaid | OH | |
| 001705626 | Other | WV | BCBS OF WV |
| 0018379110001 | Medicaid | PA | |
| 3810008647 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061114000103 | WV | Part B Supplier - Ambulance Service Supplier | 4688672348 | Practice locations: Ansted, WV; Beckley, WV; Danese, WV; Fayetteville, WV; Gauley Bridge, WV; Montgomery, WV; Mount Hope, WV; Oak Hill, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D1001911 | Jan Care Ambulance of Fayette Co Inc | Certificate of waiver | Jul 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
215 N Court St
Fayetteville, WV 25840
Phone (304) 574-1363
134 4th Ave
Montgomery, WV 25136
101 College Dr
Mount Hope, WV 25880
Phone (304) 877-6583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1295716900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2414",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258022414",
"telephone_number": "304-255-2931",
"fax_number": "304-255-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S FAYETTE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014606",
"telephone_number": "304-255-2931"
}
],
"practiceLocations": [
{
"address_1": "1010 Main St E",
"address_purpose": "LOCATION",
"city": "Oak Hill",
"state": "WV",
"postal_code": "259013128",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 4th Ave",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "WV",
"postal_code": "251362225",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 East Main Street",
"address_purpose": "LOCATION",
"city": "Ansted",
"state": "WV",
"postal_code": "25812",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 N Court St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "WV",
"postal_code": "258401211",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "322 Main Street",
"address_2": "Apt 4",
"address_purpose": "LOCATION",
"city": "Gauley Bridge",
"state": "WV",
"postal_code": "25085",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "428 Main St",
"address_purpose": "LOCATION",
"city": "Mount Hope",
"state": "WV",
"postal_code": "258801150",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JAN-CARE AMBULANCE OF FAYETTE COUNTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "CORNETT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "304-255-2931",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0193932",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WV",
"identifier": "001705626",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018379110001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008647",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
- Farida Jafary
- Hassan Arshad Jafary, MD
- Hassan Asghar Jafary, MD
- Alisa Ann Jaggi
- Kathryn Jalazo
- Jan-Care Ambulance of McDowell County Inc
- Jan-Care Ambulance of Nicholas Co, Inc
- Jan-Care Ambulance of North Central WV Inc
- Jan-Care Ambulance of Raleigh County Inc
- Jan-Care Ambulance of the Kanawha & Mid-Ohio Valleys Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.