Organization Active NPI

Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Madison, WV
National Provider Identifier
1457415341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
346 Issued in WV
Legal business name
RESCARE
Practice address
330 Jackson Ave
Madison, WV 25130-1318
Phone
(304) 369-1779
Fax
(304) 369-1853
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lena Street
Title
Executive Director
Phone
(304) 583-8675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 346 WV Primary

Addresses

Primary practice location

330 Jackson Ave
Madison, WV 25130-1318

Mailing address

PO Box 1560
Princeton, WV 24740-1560
Phone (304) 487-0788

Other identifiers 1

IdentifierTypeStateIssuer
0150800012MedicaidWV

Other names 1

  • ResCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Res-Care Health Services148 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

330 Jackson Ave
Madison, WV 25130
Phone (304) 369-1779

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457415341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401560",
            "telephone_number": "304-487-0788",
            "fax_number": "304-487-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 JACKSON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301318",
            "telephone_number": "304-369-1779",
            "fax_number": "304-369-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-583-8675",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150800012",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ResCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.