NPIMap

Organization Active NPI

Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Gilbert, WV
National Provider Identifier
1376572479
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
25 Issued in WV
Legal business name
FAMILY HEALTHCARE ASSOCIATES INC
Practice address
6TH Avenue & Vinus Street
Family Healthcare Associates Inc
Gilbert, WV 25621
Phone
(304) 664-5699
Fax
(304) 664-5031
NPI assigned
Jul 1, 2006
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Samue A Muscari Sr., DO
Title
President
Phone
(304) 294-4880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X 25 WV Primary

Addresses

Primary practice location

6TH Avenue & Vinus Street
Family Healthcare Associates Inc
Gilbert, WV 25621

Mailing address

PO Box 1650
Main Street Family Healthcare Associates
Pineville, WV 24874-1650
Phone (304) 732-6735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030218000009 WV Part A Provider - Rural Health Clinic 8325957996 Practice locations: Gilbert, WV
O20031210000848 WV Part B Supplier - Clinic/Group Practice 8325957996 Receives reassigned benefits from 26 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gilbert, WV; Man, WV; Mullens, WV; Oceana, WV; Pineville, WV; Welch, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376572479. Details of each certification follow.

Rural health clinic certification: CCN 513905

Legal name
FAMILY HEALTHCARE ASSOCIATES INC
Doing business as
FAMILY HEALTHCARE ASSOCIATES, INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 24, 2003
Last certification
Apr 29, 2019
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Aug 11, 1986 in WV
Enrollment address
1061 Larry Joe Harless Drive
Gilbert, WV 25621

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1008986Family Healthcare Associates Inc - Gilbert1061 Larry Joe Harless Drive, Gilbert, WV 25621Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samuel Muscari Individual 5% Or Greater Direct Ownership Interest Feb 1, 2003
General Partnership Interest Aug 11, 1986
Corporate Director Feb 18, 2003
W-2 Managing Employee Feb 1, 2003
Samuel Muscari Individual 5% Or Greater Direct Ownership Interest Feb 1, 2003
General Partnership Interest Aug 11, 1986
Corporate Director Feb 18, 2003
W-2 Managing Employee Feb 1, 2003
Michael a Muscari Individual 5% Or Greater Direct Ownership Interest Feb 1, 2003
General Partnership Interest Aug 11, 1986
Corporate Director Feb 18, 2003
W-2 Managing Employee Feb 1, 2003
Stephanie Sizemore Individual W-2 Managing Employee Jan 22, 2010
Anthony Flaim Individual 5% Or Greater Direct Ownership Interest Feb 1, 2003
General Partnership Interest Aug 11, 1986
Corporate Director Feb 18, 2003

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Anthony R Flaim, DO
    • Family Medicine Physician
    • Oceana, WV
    • NPI 1497867311

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

    CMS ownership
  • Michael A Muscari, DO
    • Family Medicine Physician
    • Oceana, WV
    • NPI 1528170438

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 Managing Employee

    CMS ownership
  • Samuel A Muscari Sr., DO
    • Family Medicine Physician
    • Mullens, WV
    • NPI 1578675492

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 Managing Employee

    CMS ownership
  • Samuel A Muscari Jr., DO
    • Family Medicine Physician
    • Pineville, WV
    • NPI 1598877409

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1376572479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "address_2": "MAIN STREET FAMILY HEALTHCARE ASSOCIATES",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "248741650",
            "telephone_number": "304-732-6735",
            "fax_number": "304-732-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH AVENUE & VINUS STREET",
            "address_2": "FAMILY HEALTHCARE ASSOCIATES INC",
            "city": "GILBERT",
            "state": "WV",
            "postal_code": "25621",
            "telephone_number": "304-664-5699",
            "fax_number": "304-664-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "MUSCARI",
        "authorized_official_first_name": "SAMUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-294-4880",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WV",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, WV

Sources for this page

Verify at the official NPI Registry.