NPIMap

Organization Active NPI

Calhoun County Committee on Aging

  • Home Health Agency
  • Grantsville, WV
National Provider Identifier
1487058681
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10359463 Issued in WV
Legal business name
CALHOUN COUNTY COMMITTEE ON AGING
Practice address
105 Market Street
Grantsville, WV 26147
Phone
(304) 354-7017
NPI assigned
Oct 16, 2014
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Rick D PolingNPI 1407258148
Title
Executive Director
Phone
(304) 354-7017

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
Home Health Agency 251E00000X 10359463 WV Primary

Addresses

Primary practice location

105 Market Street
Grantsville, WV 26147

Mailing address

105 Market Street
Grantsville, WV 26147
Phone (304) 354-7017

Other identifiers 1

IdentifierTypeStateIssuer
0030566000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Calhoun County Committee on Aging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1487058681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARKET STREET",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "26147",
            "telephone_number": "304-354-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARKET STREET",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "26147",
            "telephone_number": "304-354-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN COUNTY COMMITTEE ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "POLING",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-354-7017"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "10359463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030566000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.