Organization Active NPI

Northern West Virginia Center for Independent Living Inc.

  • Voluntary or Charitable Agency
  • Morgantown, WV
National Provider Identifier
1457084840
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
NORTHERN WEST VIRGINIA CENTER FOR INDEPENDENT LIVING INC.
Practice address
601 E Brockway Ave # 3
Morgantown, WV 26501-0106
Phone
(304) 296-6091
Fax
(304) 292-5217
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Mrs. Annetta Johnson
Title
Executive Director
Phone
(304) 296-6091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

601 E Brockway Ave # 3
Morgantown, WV 26501-0106

Mailing address

601 E Brockway Ave # 3
Morgantown, WV 26501-0106
Phone (304) 296-6091

Other names 1

  • LiveAbility Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajohnson@nwvcil.org Direct

National Provider Directory

National Provider Directory

Locations

601 E Brockway Ave
#3
Morgantown, WV 26501
Phone (304) 296-6091

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1457084840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E BROCKWAY AVE # 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265010106",
            "telephone_number": "304-296-6091",
            "fax_number": "304-292-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E BROCKWAY AVE # 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265010106",
            "telephone_number": "304-296-6091",
            "fax_number": "304-292-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WEST VIRGINIA CENTER FOR INDEPENDENT LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANNETTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-296-6091",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajohnson@nwvcil.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601 E Brockway Ave # 3",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265010106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LiveAbility Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.