Organization Active NPI

Allcare Healthcare and Wellness, LLC

  • Family Medicine Physician
  • Fairmont, WV
National Provider Identifier
1720858087
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLCARE HEALTHCARE AND WELLNESS, LLC
Practice address
312 10TH St
Fairmont, WV 26554-3611
Phone
(304) 476-2380
NPI assigned
Jan 8, 2024
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Jennifer MolinaNPI 1588946552
Title
Owner
Phone
(304) 368-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

312 10TH St
Fairmont, WV 26554-3611

Mailing address

235 Sandy Beach Rd
Fairmont, WV 26554-7905
Phone (304) 368-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329000301 WV Part B Supplier - Clinic/Group Practice 7012355837 Receives reassigned benefits from 1 practitioner
Practice locations: Fairmont, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2334629Allcare Healthcare & Wellness312 10TH St, Fairmont, WV 26554Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory

Locations

2275 White Hall Blvd
White Hall, WV 26554
Phone (304) 368-1181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1720858087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SANDY BEACH RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265547905",
            "telephone_number": "304-368-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 10TH ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543611",
            "telephone_number": "304-476-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE HEALTHCARE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-368-1181"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.