NPIMap

Organization Active NPI

Northern WV Home Health LLC

  • Home Health Agency
  • Keyser, WV
National Provider Identifier
1386837219
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1007-3456 Issued in WV
Legal business name
NORTHERN WV HOME HEALTH LLC
Practice address
690 S Mineral St
Keyser, WV 26726-2823
Phone
(304) 788-1285
Fax
(304) 788-2194
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Mrs. Heather Winegardner, RN
Title
Director
Phone
(304) 788-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1007-3456 WV Primary

Addresses

Primary practice location

690 S Mineral St
Keyser, WV 26726-2823

Mailing address

690 S Mineral St
Keyser, WV 26726-2823
Phone (304) 788-1285

Other identifiers 3

IdentifierTypeStateIssuer
0001377002MedicaidWV
0001170001MedicaidWV
0001781002MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Northern WV Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1386837219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S MINERAL ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262823",
            "telephone_number": "304-788-1285",
            "fax_number": "304-788-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S MINERAL ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262823",
            "telephone_number": "304-788-1285",
            "fax_number": "304-788-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WV HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "WINEGARDNER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-788-1285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "1007-3456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001377002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001170001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001781002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.