Elkins Regional Convalescent Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

134 Issued in WV

Legal business name

ELKINS REGIONAL CONVALESCENT CENTER

Doing business as

Elkins Rehabilitation & Care Center

Practice address

2533 Beverly Pike
Elkins, WV 26241-9401

Phone

(304) 636-1391

Fax

(304) 636-1371

NPI assigned

Jun 27, 2005

Last updated

Oct 29, 2023By 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

Betsy Jones

Title

Cfo

Phone

(304) 636-1391

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Elkins Rehabilitation & Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558367292. Details of each certification follow.

• CCN 515025 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 515025

Legal name

ELKINS REGIONAL CONVALESCENT CENTER

Doing business as

ELKINS REHABILITATION AND CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 29, 1967

Last certification

Oct 25, 2023

Beds

111

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 16, 1992 in WV

Enrollment address

2533 Beverly Pike
Elkins, WV 26241-9401

Nursing home name

ELKINS REHABILITATION & CARE CENTER

Listed as

Elkins Rehabilitation & Care CenterCCN 515025 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 29, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

111103.5 residents per day on average

Penalties (3 years)

1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Elkins Regional Convalescent Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Elkins Regional Convalescent Center

  • Non-emergency Medical Transport (VAN)
  • Elkins, WV
  • NPI 1841465473
  NPD tax ID
• Elkins Regional Convalescent Center Inc. Dba Elkins Rehab and Care Ctr

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Elkins, WV
  • NPI 1851793152
  NPD tax ID

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Catherine M. Chua, D.O.

  • Family Medicine Physician
  • Elkins, WV
  • NPI 1295726685

  Adp of the SNF

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine M. Chua, D.O.

  • Family Medicine Physician
  • Elkins, WV
  • NPI 1295726685
  NPD (past)
• Matthew Cupp, MD

  • Family Medicine Physician
  • Elkins, WV
  • NPI 1457442709
  NPD (past)
• Carl High, MD

  • Family Medicine Physician
  • Elkins, WV
  • NPI 1700808177
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Catherine M. Chua, D.O.

  • Family Medicine Physician
  • Elkins, WV
  • NPI 1295726685

  Nursing home

  Care Compare affiliation
• Matthew Cupp, MD

  • Family Medicine Physician
  • Elkins, WV
  • NPI 1457442709

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698537600000",
    "number": "1558367292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 BEVERLY PIKE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419401",
            "telephone_number": "304-636-1391",
            "fax_number": "304-636-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 BEVERLY PIKE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419401",
            "telephone_number": "304-636-1391",
            "fax_number": "304-636-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKINS REGIONAL CONVALESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-636-1391"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "134",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003315000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146591000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkins Rehabilitation & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Marie Elder
• Elkins Center for Counseling and Development
• Elkins Optical Center Inc
• Elkins Physical Therapy Service, Inc.
• Elkins Psychological Testing PLLC (Eyes and Brains Psychology)
• Elkins Regional Convalescent Center
• Elkins Regional Convalescent Center Inc. Dba Elkins Rehab and Care Ctr
• Clyde Neal Ellis Jr., MD
• Sandra Elmer
• Misti Elmore, FNP-C

• Skilled Nursing Facility in Elkins, WV
• Providers in Elkins, 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 Oct 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.