NPIMap

Organization Active NPI

Your Choice Home Care LLC

  • Case Management Agency
  • Crawley, WV
National Provider Identifier
1730386558
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YOUR CHOICE HOME CARE LLC
Practice address
530 Gray Gables Rd
Crawley, WV 24931
Phone
(304) 392-6270
Fax
(304) 392-6354
NPI assigned
Jun 27, 2007
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mrs. Valarie Phillips
Title
Member Manager
Phone
(304) 392-6270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

530 Gray Gables Rd
Crawley, WV 24931

Mailing address

530 Gray Gables Rd
Crawley, WV 24931
Phone (304) 392-6270

Other identifiers 2

IdentifierTypeStateIssuer
3810003786MedicaidWV
3810003785MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Your Choice Home Care3 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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1730386558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 GRAY GABLES RD",
            "city": "CRAWLEY",
            "state": "WV",
            "postal_code": "24931",
            "telephone_number": "304-392-6270",
            "fax_number": "304-392-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 GRAY GABLES RD",
            "city": "CRAWLEY",
            "state": "WV",
            "postal_code": "24931",
            "telephone_number": "304-392-6270",
            "fax_number": "304-392-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "304-392-6270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003786",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003785",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.