NPIMap

Organization Active NPI

Council on Aging, Inc.

  • In Home Supportive Care Agency
  • Itmann, WV
National Provider Identifier
1356768576
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
WVM0004468984 Issued in WV
Legal business name
COUNCIL ON AGING, INC.
Practice address
RT 10 Old Itmann Grade School
Itmann, WV 24847
Phone
(304) 294-8800
Fax
(304) 294-8803
NPI assigned
Mar 26, 2014
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Jennifer Gibson
Title
Executive Director
Phone
(304) 294-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X WVM0004468984 WV Primary

Addresses

Primary practice location

RT 10 Old Itmann Grade School
Itmann, WV 24847

Mailing address

PO Box 130
Itmann, WV 24847-0130
Phone (304) 294-8800

Other identifiers 1

IdentifierTypeStateIssuer
0030823000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Council on Aging Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1356768576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "ITMANN",
            "state": "WV",
            "postal_code": "248470130",
            "telephone_number": "304-294-8800",
            "fax_number": "304-294-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 10 OLD ITMANN GRADE SCHOOL",
            "city": "ITMANN",
            "state": "WV",
            "postal_code": "24847",
            "telephone_number": "304-294-8800",
            "fax_number": "304-294-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-294-8800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "WVM0004468984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030823000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Itmann, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.