Active NPI
Sheltering Arms Inc.
- Ambulance
- Fayetteville, WV
National Provider Identifier
1376670174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- BO200
- Legal business name
- SHELTERING ARMS INC.
- Practice address
- 122 2ND Ave
Fayetteville, WV 25840-1035 - Phone
- (304) 574-3133
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randy NMN Prince
- Title
- President
- Phone
- (304) 574-3133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | BO200 | WV | Primary |
Addresses
Primary practice location
122 2ND Ave
Fayetteville, WV 25840-1035
Mailing address
PO Box 37
Fayetteville, WV 25840-0037
Phone (304) 574-3133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0146586000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
122 2nd Ave
Fayetteville, WV 25840
Phone (304) 574-3133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376670174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258400037",
"telephone_number": "304-574-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 2ND AVE",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258401035",
"telephone_number": "304-574-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELTERING ARMS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "NMN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-574-3133",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WV",
"license": "BO200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0146586000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, 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.