NPIMap

Organization Active NPI

Roane County Committee on Aging, Inc.

  • Personal Care Attendant
  • Spencer, WV
National Provider Identifier
1699980037
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
001 Issued in WV
Legal business name
ROANE COUNTY COMMITTEE ON AGING, INC.
Practice address
811 Madison Ave
Spencer, WV 25276-1900
Phone
(304) 927-1997
Fax
(304) 927-2273
NPI assigned
May 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Chuck Ricks, R.N.
Title
Director
Phone
(304) 927-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 001 WV Primary

Addresses

Primary practice location

811 Madison Ave
Spencer, WV 25276-1900

Mailing address

811 Madison Ave
Spencer, WV 25276-1900
Phone (304) 927-1997

Other identifiers 1

IdentifierTypeStateIssuer
0030758003MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Roane County Committee on Aging Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699980037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MADISON AVE",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761900",
            "telephone_number": "304-927-1997",
            "fax_number": "304-927-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MADISON AVE",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761900",
            "telephone_number": "304-927-1997",
            "fax_number": "304-927-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE COUNTY COMMITTEE ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-927-1997",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030758003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.