Active NPI
Mohammad Reza Pakray
- Home Health Agency
- Charleston, WV
National Provider Identifier
1346573789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 22204886
- Practice address
- 738 Randolph Street
Charleston, WV 25302 - Phone
- (304) 205-7241
- Fax
- (304) 345-5441
- NPI assigned
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 22204886 | WV | Primary |
Addresses
Primary practice location
738 Randolph Street
Charleston, WV 25302
Mailing address
738 Randolph Street
Charleston, WV 25302
Phone (304) 205-7241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22204886 | WV | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Home Care Inc | Home Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1346573789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 RANDOLPH STREET",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25302",
"telephone_number": "304-205-7241",
"fax_number": "304-345-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 RANDOLPH STREET",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25302",
"telephone_number": "304-205-7241",
"fax_number": "304-345-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKRAY",
"first_name": "MOHAMMAD",
"middle_name": "REZA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WV",
"license": "22204886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.