NPIMap

Organization Active NPI

Rescare

  • Developmental Disabilities Clinic/Center
  • Charleston, WV
National Provider Identifier
1467518902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
RESCARE
Practice address
1207 Quarrier St
Suite 304
Charleston, WV 25301-1826
Phone
(304) 344-5795
Fax
(304) 344-5747
NPI assigned
Dec 29, 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
Steve Hendricks
Title
Senior Regional Director
Phone
(304) 344-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1207 Quarrier St
Suite 304
Charleston, WV 25301-1826

Mailing address

1207 Quarrier St
Suite 304
Charleston, WV 25301-1826
Phone (304) 344-5795

Other identifiers 1

IdentifierTypeStateIssuer
0005258001MedicaidWV

Other names 1

  • VOCA of WV Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rescare27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

1207 Quarrier St
Ste 304
Charleston, WV 25301
Phone (304) 344-5795

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467518902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 QUARRIER ST",
            "address_2": "SUITE 304",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011826",
            "telephone_number": "304-344-5795",
            "fax_number": "304-344-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 QUARRIER ST",
            "address_2": "SUITE 304",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011826",
            "telephone_number": "304-344-5795",
            "fax_number": "304-344-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SENIOR REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "304-344-5795"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005258001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VOCA of WV",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charleston, 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.