Organization Active NPI

American Homecare Services, Inc

  • Home Health Agency
  • Fairmont, WV
National Provider Identifier
1679600365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERICAN HOMECARE SERVICES, INC
Practice address
1715 Pleasant Valley Rd
Fairmont, WV 26554-9263
Phone
(304) 367-0768
Fax
(304) 367-0800
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Kimberly Ferrise
Title
Owner Operator
Phone
(304) 367-0768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1715 Pleasant Valley Rd
Fairmont, WV 26554-9263

Mailing address

PO Box 635
Kingmont, WV 26578-0635
Phone (304) 367-0768

Other identifiers 1

IdentifierTypeStateIssuer
0031025000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679600365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "KINGMONT",
            "state": "WV",
            "postal_code": "265780635",
            "telephone_number": "304-367-0768",
            "fax_number": "304-367-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 PLEASANT VALLEY RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549263",
            "telephone_number": "304-367-0768",
            "fax_number": "304-367-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMECARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRISE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER  OPERATOR",
        "authorized_official_telephone_number": "304-367-0768",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031025000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, 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.