Clarksburg Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

79 Issued in WV

Legal business name

CLARKSBURG CENTER LLC

Doing business as

Stonerise Clarksburg

Practice address

100 Parkway Dr
Clarksburg, WV 26301-4357

Phone

(304) 624-6401

Fax

(304) 624-8026

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Steven F White

Title

Manager

Phone

(304) 343-1950

Specialties & licenses 2

Addresses

Other names 1

• Stonerise Clarksburg Doing business as

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1386023398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHAPPELL RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042704",
            "telephone_number": "304-343-1950",
            "fax_number": "304-343-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARKWAY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014357",
            "telephone_number": "304-624-6401",
            "fax_number": "304-624-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSBURG CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-343-1950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "79",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "79",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonerise Clarksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.