Parkersburg Acquisition LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

54 Issued in WV

Legal business name

PARKERSBURG ACQUISITION LLC

Doing business as

Eagle Pointe
Stonerise Parkersburg

Practice address

1600 27TH St
Parkersburg, WV 26101-2815

Phone

(304) 485-6476

Fax

(304) 485-1306

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence A Pack

Title

Manager

Phone

(304) 343-1950

Specialties & licenses 2

Addresses

Other names 2

• Eagle Pointe Doing business as
• Stonerise Parkersburg Doing business as

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1689918369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHAPPELL RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042704",
            "telephone_number": "304-343-1950",
            "fax_number": "304-343-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 27TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012815",
            "telephone_number": "304-485-6476",
            "fax_number": "304-485-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERSBURG ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-343-1950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "54",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Pointe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Pointe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonerise Parkersburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anastasios George Pantelidis, M.D.
• Jessica Pappas
• Adrian Parker
• Christine Parker, MA
• Desarae Nichole Parker
• Parkersburg Addiction Recovery
• Parkersburg Addiction Recovery
• Parkersburg Addiction Recovery LLC
• Parkersburg Addiction Recovery LLC
• Parkersburg Cardiology Associates, Inc.

• Skilled Nursing Facility in Parkersburg, WV
• Providers in Parkersburg, 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 18, 2022; 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.