NPIMap

Organization Active NPI

Berkeley Co Comm on Aging

  • Personal Care Attendant
  • Martinsburg, WV
National Provider Identifier
1306250105
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
BERKELEY CO COMM ON AGING
Doing business as
Berkeley Senior Services
Practice address
217 N High St
Martinsburg, WV 25404-4419
Phone
(304) 263-8873
Fax
(304) 596-2254
NPI assigned
Jun 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Linda Holtzapple
Title
Director
Phone
(304) 263-8873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X WV Primary

Addresses

Primary practice location

217 N High St
Martinsburg, WV 25404-4419

Mailing address

217 N High St
Martinsburg, WV 25404-4419
Phone (304) 263-8873

Other identifiers 1

IdentifierTypeStateIssuer
0030536002MedicaidWV

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": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1306250105",
    "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": "254044419",
            "telephone_number": "304-263-8873",
            "fax_number": "304-596-2254"
        },
        {
            "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": "254044419",
            "telephone_number": "304-263-8873",
            "fax_number": "304-596-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY CO COMM ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "HOLTZAPPLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-263-8873"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030536002",
            "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 Jun 23, 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.