Active NPI
WV Veterans Nursing Facility
- Skilled Nursing Facility
- Clarksburg, WV
National Provider Identifier
1508086703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- #182
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.