Organization Active NPI

Integricare, Inc

Doing business as Extend A Care Home Health

  • Home Health Agency
  • Beckley, WV
National Provider Identifier
1326013210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CON Issued in WV
Legal business name
INTEGRICARE, INC
Doing business as
Extend A Care Home Health
Practice address
145 George St
Beckley, WV 25801-2607
Phone
(304) 253-2273
Fax
(304) 253-3930
NPI assigned
Feb 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Jon C Estes
Title
Vice President/Cfo
Phone
(203) 741-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CON WV Primary

Addresses

Primary practice location

145 George St
Beckley, WV 25801-2607

Mailing address

9 S Cherry St
Wallingford, CT 06492-3537
Phone (203) 741-6565

Other identifiers 1

IdentifierTypeStateIssuer
0170105000MedicaidWV

Other names 1

  • Extend A Care Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

6148 N Discovery Way
Ste 150
Boise, ID 83713
Phone (208) 321-0866

1406 E Tipton St
Seymour, IN 47274
Phone (812) 523-8200

531 N State St
Augusta, KS 67010
Phone (316) 775-5300

727 Commercial St
Emporia, KS 66801
Phone (620) 343-8900

250 W Douglas Ave
Ste 101
Wichita, KS 67202
Phone (316) 945-9797

15 E Broadway
Derry, NH 03038
Phone (603) 437-9443

1 Commons Dr
#31
Londonderry, NH 03053
Phone (603) 437-9443

123 Washington St W
Charleston, WV 25302
Phone (304) 342-7400

111 S Jefferson St
Ste 140
Casper, WY 82601
Phone (307) 234-6684

130 N Ash St
Casper, WY 82601
Phone (307) 234-6684

130 N Ash St
Ste 200
Casper, WY 82601
Phone (307) 234-6684

132 W Collins Dr
Casper, WY 82601
Phone (307) 234-6684

1835 Madora Ave
Ste 2
Douglas, WY 82633
Phone (307) 358-0655

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326013210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S CHERRY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923537",
            "telephone_number": "203-741-6565",
            "fax_number": "203-269-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012607",
            "telephone_number": "304-253-2273",
            "fax_number": "304-253-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRICARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "203-741-6565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "CON",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170105000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extend A Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, 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.