Pine View Nursing & Convalescent Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

19 Issued in WV

Legal business name

PINE VIEW NURSING & CONVALESCENT HOME

Doing business as

Pine View Nursing & Rehabilitation

Practice address

400 McKinley Ave
Harrisville, WV 26362-1150

Phone

(304) 643-2712

Fax

(304) 643-4979

NPI assigned

Jul 6, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynda C Kirk

Title

Sec/Treas

Phone

(304) 643-2712

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PINE VIEW NURSING & REHABILITATION Doing business as

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497752455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCKINLEY AVE",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263621150",
            "telephone_number": "304-643-2712",
            "fax_number": "304-643-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCKINLEY AVE",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263621150",
            "telephone_number": "304-643-2712",
            "fax_number": "304-643-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VIEW NURSING & CONVALESCENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "304-643-2712"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003828000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINE VIEW NURSING & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Ann Morrison
• Clara Newlon
• Reba Osborne
• Erica Beth Oxley, PTA
• Pine View Center Opco, LLC (Pine View Post Acute)
• Aretta Porter
• Danielle Potts, PA-C
• Ella J Reed
• Shakira Reed
• Nancy K Richards

• Skilled Nursing Facility in Harrisville, WV
• Providers in Harrisville, WV by specialty
• Skilled Nursing Facility in West Virginia

• 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.