NPIMap

Organization Active NPI

Summers County Council on Aging, Inc

  • Home Health Agency
  • Hinton, WV
National Provider Identifier
1407852957
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUMMERS COUNTY COUNCIL ON AGING, INC
Practice address
120 2ND Ave
Hinton, WV 25951-2402
Phone
(304) 466-4019
Fax
(304) 466-1890
NPI assigned
Jun 21, 2005
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Ms. Cinthia Garrett
Title
Executive Director
Phone
(304) 466-4019

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult Companion 372600000X WV

Addresses

Primary practice location

120 2ND Ave
Hinton, WV 25951-2402

Mailing address

120 2ND Ave
Hinton, WV 25951-2402
Phone (304) 466-4019

Other identifiers 3

IdentifierTypeStateIssuer
0030778000MedicaidWV
0030778001MedicaidWV
0030778002MedicaidWV

Other names 1

  • senior center Other name

National Provider Directory

National Provider Directory
Tax ID family
Senior Center2 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.

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1407852957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 2ND AVE",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512402",
            "telephone_number": "304-466-4019",
            "fax_number": "304-466-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 2ND AVE",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512402",
            "telephone_number": "304-466-4019",
            "fax_number": "304-466-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS COUNTY COUNCIL ON AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "CINTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-466-4019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030778000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030778001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030778002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "senior center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hinton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.