NPIMap

Organization Active NPI

Mountainheart Community Services, Inc.

  • Early Intervention Provider Agency
  • Matheny, WV
National Provider Identifier
1679964738
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1035-1099 Issued in WV
Legal business name
MOUNTAINHEART COMMUNITY SERVICES, INC.
Practice address
33 Mountainheart Lane
Matheny, WV 24860
Phone
(304) 682-8271
Fax
(304) 682-8274
NPI assigned
Feb 11, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Earl D Smith
Title
Executive Director
Phone
(304) 682-8271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1035-1099 WV Primary

Addresses

Primary practice location

33 Mountainheart Lane
Matheny, WV 24860

Mailing address

PO Box 1509
Oceana, WV 24870-1509
Phone (304) 682-8271

Other identifiers 1

IdentifierTypeStateIssuer
3810025021MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Mountainheart Community Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1679964738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248701509",
            "telephone_number": "304-682-8271",
            "fax_number": "304-682-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MOUNTAINHEART LANE",
            "city": "MATHENY",
            "state": "WV",
            "postal_code": "24860",
            "telephone_number": "304-682-8271",
            "fax_number": "304-682-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINHEART COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-682-8271"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WV",
            "license": "1035-1099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025021",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matheny, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.