NPIMap

Organization Active NPI

Mulberry Street Management Services, Inc

Doing business as Coordinating Council for Independent Living/West Virginia Select

  • Home Health Agency
  • Morgantown, WV
National Provider Identifier
1700050861
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MULBERRY STREET MANAGEMENT SERVICES, INC
Doing business as
Coordinating Council for Independent Living/West Virginia Select
Practice address
1097 Greenbag Rd
Morgantown, WV 26508-1532
Phone
(304) 291-9066
Fax
(304) 291-2119
NPI assigned
Apr 18, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Mary Plevich
Title
Cfo
Phone
(304) 291-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1097 Greenbag Rd
Morgantown, WV 26508-1532

Mailing address

1097 Greenbag Rd
Morgantown, WV 26508-1532
Phone (304) 291-9066

Other names 1

  • COORDINATING COUNCIL FOR INDEPENDENT LIVING/WEST VIRGINIA SELECT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mulberry Street Management Services10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700050861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081532",
            "telephone_number": "304-291-9066",
            "fax_number": "304-291-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081532",
            "telephone_number": "304-291-9066",
            "fax_number": "304-291-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY STREET MANAGEMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PLEVICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-291-9066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COORDINATING COUNCIL FOR INDEPENDENT LIVING/WEST VIRGINIA SELECT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.