Organization Active NPI

Clarksburg SNF LLC

  • Skilled Nursing Facility
  • Clarksburg, WV
National Provider Identifier
1336069350
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLARKSBURG SNF LLC
Doing business as
Clarksburg Rehabilitation & Healthcare Center
Practice address
2096 Davisson Run Rd
Clarksburg, WV 26301-7361
Phone
(304) 624-6500
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Simcha Werner
Title
Authorized Official
Phone
(917) 705-2492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2096 Davisson Run Rd
Clarksburg, WV 26301-7361

Mailing address

2096 Davisson Run Rd
Clarksburg, WV 26301-7361

Other names 1

  • Clarksburg Rehabilitation & Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

2096 Davisson Run Rd
Clarksburg, WV 26301
Phone (304) 624-6500

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1336069350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 DAVISSON RUN RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263017361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 DAVISSON RUN RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263017361",
            "telephone_number": "304-624-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSBURG SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-705-2492"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksburg Rehabilitation & Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.