NPIMap

Organization Active NPI

RSCR West Virginia, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Buckhannon, WV
National Provider Identifier
1366506941
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
44 Issued in WV
Legal business name
RSCR WEST VIRGINIA, INC.
Practice address
RR 6 Box 454
Buckhannon, WV 26201-8839
Phone
(304) 472-5503
Fax
(304) 472-5503
NPI assigned
Dec 20, 2006
Last updated
Jun 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Ms. Deena G. Ombres, ESQ.
Title
Associate General Counsel & Privacy
Phone
(502) 394-2387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 44 WV Primary

Addresses

Primary practice location

RR 6 Box 454
Buckhannon, WV 26201-8839

Mailing address

9901 Linn Station Road
Louisville, KY 40223
Phone (502) 394-2100

Other identifiers 1

IdentifierTypeStateIssuer
0003179000MedicaidWV

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1366506941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-394-2100",
            "fax_number": "502-394-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 454",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262018839",
            "telephone_number": "304-472-5503",
            "fax_number": "304-472-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSCR WEST VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "OMBRES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ASSOCIATE GENERAL COUNSEL & PRIVACY",
        "authorized_official_telephone_number": "502-394-2387",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003179000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.