NPIMap

Organization Active NPI

Sweet Virginia Care WV, LLC

Doing business as BrightStar Care of WV

  • Nursing Care Agency
  • Chester, WV
National Provider Identifier
1396506473
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SWEET VIRGINIA CARE WV, LLC
Doing business as
BrightStar Care of WV
Practice address
12 Lotus Ave
Chester, WV 26034-1552
Phone
(866) 520-1989
NPI assigned
Jan 17, 2024
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Mr. Justin D Conrad
Title
Managing Director
Phone
(703) 496-4616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

12 Lotus Ave
Chester, WV 26034-1552

Mailing address

21035 Sycolin Rd Ste 55
Ashburn, VA 20147-4311
Phone (703) 469-4616

Other names 1

  • BrightStar Care of WV Doing business as

National Provider Directory

National Provider Directory

Locations

12 Lotus Ave
Chester, WV 26034
Phone (866) 520-1989

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1396506473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21035 SYCOLIN RD STE 55",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474311",
            "telephone_number": "703-469-4616",
            "fax_number": "703-469-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LOTUS AVE",
            "city": "CHESTER",
            "state": "WV",
            "postal_code": "260341552",
            "telephone_number": "866-520-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET VIRGINIA CARE WV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "703-496-4616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of WV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar Care of WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.