Sheltered Workshop of Nicholas County

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1036-8190 Issued in WV

Legal business name

SHELTERED WORKSHOP OF NICHOLAS COUNTY

Practice address

16810 Webster Rd.
PO Drawer 730
Craigsville, WV 26205-0730

Phone

(304) 742-6202

Fax

(304) 742-6280

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Duane Ray Bragg

Title

Director of Opperations

Phone

(304) 742-6202

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1346401734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "CRAIGSVILLE",
            "state": "WV",
            "postal_code": "262050730",
            "telephone_number": "304-742-6202",
            "fax_number": "304-742-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16810 WEBSTER RD.",
            "address_2": "PO DRAWER 730",
            "city": "CRAIGSVILLE",
            "state": "WV",
            "postal_code": "262050730",
            "telephone_number": "304-742-6202",
            "fax_number": "304-742-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERED WORKSHOP OF NICHOLAS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DIRECTOR OF OPPERATIONS",
        "authorized_official_telephone_number": "304-742-6202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WV",
            "license": "1036-8190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005379000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eula Russell
• Freda Russell
• Kelly Russell
• Elizabeth Sapone
• Summer Selman
• Tonya Smallwood
• Jazmyne Tiarha Smith
• Kisha Smith
• Trevor James Stinnett
• Caden Stuart

• Developmentally Disabled Services Day Training Agency in Craigsville, WV
• Providers in Craigsville, WV by specialty
• Developmentally Disabled Services Day Training Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.