NPIMap

Organization Active NPI

Senior Life Services of Morgan County, Inc.

  • Non-emergency Medical Transport (VAN)
  • Berkeley Springs, WV
National Provider Identifier
1578730610
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SENIOR LIFE SERVICES OF MORGAN COUNTY, INC.
Practice address
106 Sand Mine Rd Ste 1
Berkeley Springs, WV 25411-7457
Phone
(304) 258-3096
Fax
(304) 258-3190
NPI assigned
May 8, 2008
Last updated
Nov 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Joel Tuttle
Title
Executive Director
Phone
(304) 258-3096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

106 Sand Mine Rd Ste 1
Berkeley Springs, WV 25411-7457

Mailing address

106 Sand Mine Rd Ste 1
Berkeley Springs, WV 25411-7457
Phone (304) 258-3096

Other identifiers 1

IdentifierTypeStateIssuer
0030693001MedicaidWV

Other names 1

  • Morgan County Commission on Aging, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Senior Life Services of Morgan County Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1578730610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SAND MINE RD STE 1",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254117457",
            "telephone_number": "304-258-3096",
            "fax_number": "304-258-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SAND MINE RD STE 1",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254117457",
            "telephone_number": "304-258-3096",
            "fax_number": "304-258-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIFE SERVICES OF MORGAN COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-258-3096"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030693001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgan County Commission on Aging, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.