Eldercare of Jackson County, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

73 Issued in WV

Legal business name

ELDERCARE OF JACKSON COUNTY, LLC

Doing business as

Eldercare Health and Rehabilitation

Practice address

107 Miller Dr
Ripley, WV 25271

Phone

(304) 372-5115

Fax

(304) 372-4113

NPI assigned

Jan 13, 2006

Last updated

May 24, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

VANGUARD HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. William D. Orand

Title

Ceo

Phone

(615) 250-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eldercare Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1689653081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 OVERLOOK BLVD STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272755",
            "telephone_number": "615-250-7100",
            "fax_number": "615-250-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MILLER DR",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "25271",
            "telephone_number": "304-372-5115",
            "fax_number": "304-372-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF JACKSON COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANGUARD HEALTHCARE, LLC",
        "enumeration_date": "2006-01-13",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "ORAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-250-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "73",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003201000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldercare Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eldercare Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Ripley, WV
• Providers in Ripley, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.