NPIMap

Organization Active NPI

Pendleton Senior & Family Services, Inc.

  • In Home Supportive Care Agency
  • Franklin, WV
National Provider Identifier
1558732008
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10360224 Issued in WV
Legal business name
PENDLETON SENIOR & FAMILY SERVICES, INC.
Practice address
231 Mill Road
Franklin, WV 26807
Phone
(304) 358-2421
Fax
(304) 358-2422
NPI assigned
Oct 9, 2015
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Carolyn D Wells
Title
Executive Director
Phone
(304) 358-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 10360224 WV Primary

Addresses

Primary practice location

231 Mill Road
Franklin, WV 26807

Mailing address

231 Mill Road
P.O. Box 9
Franklin, WV 26807
Phone (304) 358-2421

Other identifiers 1

IdentifierTypeStateIssuer
0030712001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Pendleton Senior Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1558732008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MILL ROAD",
            "address_2": "P.O. BOX 9",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "26807",
            "telephone_number": "304-358-2421",
            "fax_number": "304-358-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MILL ROAD",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "26807",
            "telephone_number": "304-358-2421",
            "fax_number": "304-358-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON SENIOR & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-358-2421"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "10360224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030712001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.