Organization Active NPI

Sheltering Arms Inc.

  • Ambulance
  • Fayetteville, WV
National Provider Identifier
1376670174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
BO200 Issued in WV
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

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. Randy NMN Prince
Title
President
Phone
(304) 574-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0146586000MedicaidWV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.