NPIMap

Organization Active NPI

Jackson County Commission on Aging, Inc.

  • Home Health Agency
  • Ripley, WV
National Provider Identifier
1487872594
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JACKSON COUNTY COMMISSION ON AGING, INC.
Practice address
121 Court St S
Ripley, WV 25271-1408
Phone
(304) 372-2406
Fax
(304) 372-9243
NPI assigned
Apr 23, 2007
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Geraldine Dunbar
Title
Executive Director
Phone
(304) 372-2406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

121 Court St S
Ripley, WV 25271-1408

Mailing address

PO Box 617
121 South Court Street
Ripley, WV 25271-0617
Phone (304) 372-2406

Other identifiers 1

IdentifierTypeStateIssuer
0030617000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Jackson County Commission on Aging Inc2 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.

Locations

121 Court St S
Ripley, WV 25271
Phone (304) 372-2406

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1487872594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "address_2": "121 SOUTH COURT STREET",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710617",
            "telephone_number": "304-372-2406",
            "fax_number": "304-372-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COURT ST S",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711408",
            "telephone_number": "304-372-2406",
            "fax_number": "304-372-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY COMMISSION ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-372-2406"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030617000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.