Organization Active NPI

Individual Home Care, Inc.

  • Home Health Agency
  • Summersville, WV
National Provider Identifier
1598884785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
032828 Issued in WV
Legal business name
INDIVIDUAL HOME CARE, INC.
Practice address
Route 19, 77 Puddy Run Road
Summersville, WV 26651-0455
Phone
(304) 872-2189
Fax
(304) 872-2189
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark E. Romano
Title
President
Phone
(304) 872-2189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 032828 WV Primary

Addresses

Primary practice location

Route 19, 77 Puddy Run Road
Summersville, WV 26651-0455

Mailing address

PO Box 455
Summersville, WV 26651-0455
Phone (304) 872-2189

Other identifiers 1

IdentifierTypeStateIssuer
0031070000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Individual Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598884785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266510455",
            "telephone_number": "304-872-2189",
            "fax_number": "304-872-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 19, 77 PUDDY RUN ROAD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266510455",
            "telephone_number": "304-872-2189",
            "fax_number": "304-872-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-872-2189"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "032828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031070000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.