NPIMap

Organization Active NPI

Hardy County Committee on Aging

  • Homemaker
  • Moorefield, WV
National Provider Identifier
1467679209
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
376J00000X Issued in WV
Legal business name
HARDY COUNTY COMMITTEE ON AGING
Practice address
409 Spring Ave
Moorefield, WV 26836-1036
Phone
(304) 530-2256
Fax
(304) 530-6989
NPI assigned
Apr 20, 2007
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Mary SummersNPI 1306453535
Title
Senior Center Director
Phone
(304) 530-2256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 376J00000X WV Primary

Addresses

Primary practice location

409 Spring Ave
Moorefield, WV 26836-1036

Mailing address

409 Spring Ave
P O Box 632
Moorefield, WV 26836-1036
Phone (304) 530-2256

Other identifiers 2

IdentifierTypeStateIssuer
0030613001MedicaidWV
0030613000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Hardy County Committee on Aging2 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 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1467679209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SPRING AVE",
            "address_2": "P O BOX 632",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361036",
            "telephone_number": "304-530-2256",
            "fax_number": "304-530-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SPRING AVE",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361036",
            "telephone_number": "304-530-2256",
            "fax_number": "304-530-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY COUNTY COMMITTEE ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SENIOR CENTER DIRECTOR",
        "authorized_official_telephone_number": "304-530-2256"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "WV",
            "license": "376J00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030613001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030613000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.