Organization Active NPI

WV Veterans Nursing Facility

  • Skilled Nursing Facility
  • Clarksburg, WV
National Provider Identifier
1508086703
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
#182 Issued in WV
Legal business name
WV VETERANS NURSING FACILITY
Practice address
One Freedom Way
Clarksburg, WV 26301
Phone
(304) 626-1600
Fax
(304) 626-1605
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Ms. Sherri Ann Reed, LNHA
Title
Acting Administrator
Phone
(304) 626-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X #182 WV Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

One Freedom Way
Clarksburg, WV 26301

Mailing address

One Freedom Way
Clarksburg, WV 26301
Phone (304) 626-1600

Other names 1

  • West Virginia Veterans Nursing Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1508086703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE FREEDOM WAY",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-626-1600",
            "fax_number": "304-626-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE FREEDOM WAY",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-626-1600",
            "fax_number": "304-626-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV VETERANS NURSING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ACTING ADMINISTRATOR",
        "authorized_official_telephone_number": "304-626-1600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "#182",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Virginia Veterans Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Virginia Veterans Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.