NPIMap

Organization Active NPI

Rescare West Virginia, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Martinsburg, WV
National Provider Identifier
1356406995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
331 Issued in WV
Legal business name
RESCARE WEST VIRGINIA, INC
Practice address
1200 3Rd St
Martinsburg, WV 25401-4792
Phone
(304) 263-4742
Fax
(304) 596-2395
NPI assigned
Dec 26, 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
Mr. Mark Landis
Title
Executive Director
Phone
(540) 858-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 331 WV Primary

Addresses

Primary practice location

1200 3Rd St
Martinsburg, WV 25401-4792

Mailing address

1200 3Rd St
Martinsburg, WV 25401-4792
Phone (304) 263-4742

Other identifiers 1

IdentifierTypeStateIssuer
0003445000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Rescare Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

1200 3rd St
Martinsburg, WV 25404
Phone (304) 263-2685

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356406995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 3RD ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014792",
            "telephone_number": "304-263-4742",
            "fax_number": "304-596-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 3RD ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014792",
            "telephone_number": "304-263-4742",
            "fax_number": "304-596-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE WEST VIRGINIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-858-2572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003445000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, 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.