Voca Corporation of West Virginia, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

VOCA CORPORATION OF WEST VIRGINIA, INC.

Doing business as

Poplar Lane Group Home

Practice address

1 Poplar Lane
Oceana, WV 24870

Phone

(304) 792-1111

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By 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

Angie Mattingly

Title

Manager-Provider Enrollment

Phone

(502) 381-3579

Specialties & licenses 1

Addresses

Other names 1

• Poplar Lane Group Home Doing business as

Tax ID family

Rescare27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Huntington, WV
  • NPI 1033274600
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Beckley, WV
  • NPI 1134283328
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Beckley, WV
  • NPI 1336205962
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Kenova, WV
  • NPI 1457416034
  NPD tax ID
• Rescare

  • Developmental Disabilities Clinic/Center
  • Charleston, WV
  • NPI 1467518902
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Lewisburg, WV
  • NPI 1528123239
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Lewisburg, WV
  • NPI 1700941580
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Fairmont, WV
  • NPI 1750446738
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Summersville, WV
  • NPI 1851456636
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Beckley, WV
  • NPI 1902962574
  NPD tax ID
• Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Huntington, WV
  • NPI 1912062589
  NPD tax ID
• Rescare West Virginia, Incorporated

  • Intellectual Disabilities Intermediate Care Facility
  • Clarksburg, WV
  • NPI 1295899169
  NPD tax ID

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1619578333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POPLAR LANE",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "24870",
            "telephone_number": "304-792-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOCA CORPORATION OF WEST VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MANAGER-PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-381-3579"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Lane Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Dawn Stafford, MSW
• Jennifer Rebecca Stone
• Victoria Ann Toler
• Yolanda D Toler
• United Pharmacy Group Inc (Oceana Pharmacy)
• Walgreen Co (Walgreens # 19746)
• Walgreen Co. (Walgreens #19746)
• Elona Walker
• Justin D Walker, PHARMD.
• Zelda Sue Walls

• Intellectual Disabilities Intermediate Care Facility in Oceana, WV
• Providers in Oceana, WV by specialty
• Intellectual Disabilities Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.