Organization Active NPI

Committee for Hancock County Senior Citizens, Inc.

  • Home Health Agency
  • New Cumberland, WV
National Provider Identifier
1730309477
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMITTEE FOR HANCOCK COUNTY SENIOR CITIZENS, INC.
Practice address
647 Gas Valley Road
New Cumberland, WV 26047-1284
Phone
(304) 564-3801
Fax
(304) 387-2693
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Mr. Edwin M Knabenshue
Title
Executive Director
Phone
(304) 564-3801

Specialties & licenses 1

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

Addresses

Primary practice location

647 Gas Valley Road
New Cumberland, WV 26047-1284

Mailing address

PO Box 1284
647 Gas Valley Road
New Cumberland, WV 26047-1284
Phone (304) 564-3801

Other identifiers 1

IdentifierTypeStateIssuer
4703006002MedicaidWV

Other names 1

  • DIVISION OF IN-HOME SERVICES Other name

National Provider Directory

National Provider Directory
Tax ID family
Committee for Hancock County Senior Citizens Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

647 Gas Valley Rd
New Cumberland, WV 26047
Phone (304) 564-3801

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1730309477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "address_2": "647 GAS VALLEY ROAD",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260471284",
            "telephone_number": "304-564-3801",
            "fax_number": "304-384-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 GAS VALLEY ROAD",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260471284",
            "telephone_number": "304-564-3801",
            "fax_number": "304-387-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTEE FOR HANCOCK COUNTY SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "KNABENSHUE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-564-3801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4703006002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVISION OF IN-HOME SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Cumberland, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.