NPIMap

Organization Active NPI

Home Base Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Buckhannon, WV
National Provider Identifier
1326248048
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
135 Issued in WV
Legal business name
HOME BASE INC.
Practice address
1362 Mountain Ridge Rd
Buckhannon, WV 26201-5117
Phone
(304) 473-6826
Fax
(304) 472-8978
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Mr. Damon C. Cater
Title
Ceo
Phone
(304) 472-6826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 135 WV Primary

Addresses

Primary practice location

1362 Mountain Ridge Rd
Buckhannon, WV 26201-5117

Mailing address

713 Bigley Ave
Charleston, WV 25302-3356
Phone (304) 746-2918

Other identifiers 1

IdentifierTypeStateIssuer
9435000000MedicaidWV

Other names 1

  • Home Base Upshur County Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Home Base 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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1326248048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 BIGLEY AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023356",
            "telephone_number": "304-746-2918",
            "fax_number": "304-472-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 MOUNTAIN RIDGE RD",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262015117",
            "telephone_number": "304-473-6826",
            "fax_number": "304-472-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "CATER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-472-6826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WV",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9435000000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Base Upshur County Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.