Task Force on Deomestic Violence, 'Hope, Inc'

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

TASK FORCE ON DEOMESTIC VIOLENCE, 'HOPE, INC'

Practice address

411 Jackson Street
Fairmont, WV 26555

Phone

(304) 367-1100

Fax

(304) 367-0362

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By 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

Mrs. Harriet Miller Sutton, MSW, ACSW

Title

Financial Manager

Phone

(304) 367-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1528210689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26555",
            "telephone_number": "304-367-1100",
            "fax_number": "304-367-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 JACKSON STREET",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26555",
            "telephone_number": "304-367-1100",
            "fax_number": "304-367-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASK FORCE ON DEOMESTIC VIOLENCE, 'HOPE, INC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "304-367-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10300",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD IDENTIFICATION NUMBER UNDER UNISYS",
            "identifier": "0023902000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.