Hampshire Co. Special Services Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

105 Issued in WV

Legal business name

HAMPSHIRE CO. SPECIAL SERVICES CENTER

Practice address

9 Industrial Park
Romney, WV 26757-1101

Phone

(304) 822-7062

Fax

(304) 822-7007

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Sanders

Title

Executive Director

Phone

(304) 822-7062

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700983996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL PARK",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571101",
            "telephone_number": "304-822-7062",
            "fax_number": "304-822-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL PARK",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571101",
            "telephone_number": "304-822-7062",
            "fax_number": "304-822-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPSHIRE CO. SPECIAL SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-822-7062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WV",
            "license": "105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005335000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005335001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Haines
• Courtney Haines
• Grace Alicay Haines, CNA
• Taulana Marie Hamblin
• Hampshire Center
• Hampshire County Board of Education
• Hampshire County Commission (South Branch Valley Day Report Center)
• Hampshire County Committee on Aging
• Hampshire County Committee on Aging
• Hampshire County Committee on Aging

• Developmentally Disabled Services Day Training Agency in Romney, WV
• Providers in Romney, WV by specialty
• Developmentally Disabled Services Day Training Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.