NPIMap

Organization Active NPI

Kanawha Home Health, Inc.

  • Home Health Agency
  • Charleston, WV
National Provider Identifier
1679784656
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
046268 Issued in WV
Legal business name
KANAWHA HOME HEALTH, INC.
Practice address
20 Brooks St
Charleston, WV 25301-2903
Phone
(304) 766-9669
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Ms. Barbara Mosley, RNNPI 1073115820
Title
Administrator
Phone
(304) 766-9669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 046268 WV Primary

Addresses

Primary practice location

20 Brooks St
Charleston, WV 25301-2903

Mailing address

PO Box 11051
Charleston, WV 25339-1051
Phone (304) 766-9669

Other identifiers 1

IdentifierTypeStateIssuer
0030875000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Kanawha Home Health Case Management2 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.

Locations

3324 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 766-2665

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.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1679784656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11051",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391051",
            "telephone_number": "304-766-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012903",
            "telephone_number": "304-766-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-766-9669",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "046268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030875000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.