Organization Active NPI

Pleasant Valley Hospital, Inc

  • Home Health Agency
  • Point Pleasant, WV
National Provider Identifier
1528061645
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2514H0200Z Issued in WV
Legal business name
PLEASANT VALLEY HOSPITAL, INC
Doing business as
Pleasant Valley Home Health
Practice address
1011 Viand Street
Point Pleasant, WV 25550
Phone
(304) 675-7400
Fax
(304) 675-7401
NPI assigned
May 23, 2005
Organization subpart
Yes
Parent organization
PLEASANT VALLEY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Mistie Dawn Best, RN, MSN, MHA
Title
Director
Phone
(304) 675-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2514H0200Z WV Primary

Addresses

Primary practice location

1011 Viand Street
Point Pleasant, WV 25550

Mailing address

1011 Viand Street
Point Pleasant, WV 25550
Phone (304) 675-7400

Other identifiers 2

IdentifierTypeStateIssuer
0001300002MedicaidWV
0370807MedicaidOH

Other names 1

  • Pleasant Valley Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Pleasant Valley Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 2

DateEventCounterparty
Apr 1, 2017 Change of OwnershipThis provider was the seller Pleasant Valley Home HealthCCN 517041, WV, NPI 1922547363
Apr 1, 2017 Change of OwnershipThis provider was the seller Pleasant Valley Home HealthCCN 368353, OH, NPI 1689113300

Change of ownership 2

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1528061645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 VIAND STREET",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-7400",
            "fax_number": "304-675-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VIAND STREET",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-7400",
            "fax_number": "304-675-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLEASANT VALLEY HOSPITAL, INC",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "MISTIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-675-7400",
        "authorized_official_credential": "RN, MSN, MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "2514H0200Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001300002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0370807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Valley Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Point Pleasant, WV

Sources for this page

Verify at the official NPI Registry.