Active NPI
The Arc of the Three Rivers, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Dunbar, WV
National Provider Identifier
1598163206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 42
- Legal business name
- THE ARC OF THE THREE RIVERS, INC.
- Practice address
- 523 24TH St
Dunbar, WV 25064-1605 - Phone
- (304) 768-2345
- NPI assigned
- Dec 11, 2014
- Last updated
- Dec 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Morris
- Title
- Executive Director
- Phone
- (304) 344-3403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 42 | WV | Primary |
Addresses
Primary practice location
523 24TH St
Dunbar, WV 25064-1605
Mailing address
1021 Quarrier St Ste 200
Charleston, WV 25301-2329
Phone (304) 344-3403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003213000 | Medicaid | WV |
Other names 1
- Arc Group Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1598163206. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 51G034
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ARC GROUP HOME
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- May 6, 1989
- Last certification
- Sep 17, 2025
- Beds
- 4
- Ownership / control type
- Private (non-profit)
- Facility address
- 523 24TH Street
Dunbar, WV 25064
National Provider Directory
National Provider Directory- Tax ID family
- Arc Group Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Charleston, WV
- NPI 1992898225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418256000000",
"number": "1598163206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 QUARRIER ST STE 200",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012329",
"telephone_number": "304-344-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 24TH ST",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250641605",
"telephone_number": "304-768-2345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARC OF THE THREE RIVERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-11",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "304-344-3403"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "WV",
"license": "42",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0003213000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arc Group Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.