NPIMap

Organization Active NPI

Pendleton Senior & Family Services, Inc

  • In Home Supportive Care Agency
  • Franklin, WV
National Provider Identifier
1689091647
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10360224 Issued in WV
Legal business name
PENDLETON SENIOR & FAMILY SERVICES, INC
Practice address
231 Mill Rd.
Franklin, WV 26807
Phone
(304) 358-2421
Fax
(304) 358-2422
NPI assigned
Mar 27, 2014
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Carolyn D Wells
Title
Executive Director
Phone
(304) 358-2421

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 10360224 WV
In Home Supportive Care Agency 253Z00000X 10360224 WV Primary
Non-emergency Medical Transport (VAN) 343900000X 10360224 WV

Addresses

Primary practice location

231 Mill Rd.
Franklin, WV 26807

Mailing address

PO Box 9
231 Mill Road
Franklin, WV 26807-0009
Phone (304) 358-2421

Other identifiers 3

IdentifierTypeStateIssuer
0030712003MedicaidWV
9030120000MedicaidWV
0030712001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Pendleton Senior Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1689091647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "231 MILL ROAD",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268070009",
            "telephone_number": "304-358-2421",
            "fax_number": "304-358-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MILL RD.",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "26807",
            "telephone_number": "304-358-2421",
            "fax_number": "304-358-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON SENIOR & FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-358-2421"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "10360224",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "10360224",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "10360224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030712003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030120000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030712001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.