NPIMap

Upshur County Senior Citizens Opportunity Center, Inc.

Organization Active NPI In Home Supportive Care Agency · Buckhannon, WV

NPI 1457745309 · NPPES record last updated Mar 27, 2015

Key facts

NPI
1457745309
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
10358490 (WV)
Legal business name
UPSHUR COUNTY SENIOR CITIZENS OPPORTUNITY CENTER, INC.
Practice address
28 N Kanawha St
Buckhannon, WV 26201-2714
Phone
(304) 472-0528
Fax
(304) 472-6424
NPI assigned
Mar 27, 2015
Organization subpart
No

Authorized official

Name
Allen Cook
Title
Director
Phone
(304) 472-0528

Corporate family (same tax ID) 1

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

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 65

National Provider Directory

Tax ID family
Upshur County Senior Center (2 organizations share this tax ID)

Locations

28 N Kanawha St
Buckhannon, WV 26201
Phone (304) 472-0528

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 10358490 WV Yes

Addresses

Primary practice location

28 N Kanawha St
Buckhannon, WV 26201-2714

Mailing address

28 N Kanawha St
Buckhannon, WV 26201-2714
Phone (304) 472-0528

Other identifiers

IdentifierTypeStateIssuer
1881818482MedicaidWV

Other names

  • Upshur County Senior Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2015.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1457745309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012714",
            "telephone_number": "304-472-0528",
            "fax_number": "304-472-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N KANAWHA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012714",
            "telephone_number": "304-472-0528",
            "fax_number": "304-472-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSHUR COUNTY SENIOR CITIZENS OPPORTUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-472-0528"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "10358490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881818482",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upshur County Senior Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, WV

All providers in Buckhannon, WV · In Home Supportive Care Agency in West Virginia

Sources for this page

Verify at the official NPI Registry.