Main Street Hinton

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

MAIN STREET HINTON

Practice address

1500 Terrace St
Suite 300
Hinton, WV 25951-9768

Phone

(304) 466-6090

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Mary Lou Haley

Title

Board President

Phone

(304) 466-5332

Specialties & licenses 1

Addresses

Other names 1

• Main Street Care Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Waheed A Khan, MD

  • Internal Medicine Physician
  • Hinton, WV
  • NPI 1457319220
  NPD (past)
• Hrishi T. Patel, M.D.

  • Internal Medicine Physician
  • Hinton, WV
  • NPI 1306812680
  NPD (past)

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1730439860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TERRACE ST",
            "address_2": "SUITE 300",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259519768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TERRACE ST",
            "address_2": "SUITE 300",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259519768",
            "telephone_number": "304-466-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET HINTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "304-466-5332"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Litchfield, M.A., CCC-SLP
• Locust Medical, LLC
• Morgan Lowry
• Megan Lucas
• Shannon Lucas
• Haylee Alexis Mann
• Jeremiah Martin
• Patricia Darlene Martin
• Raegan Mackenzie Martin
• Denise Allen Massey

• Nursing Facility/Intermediate Care Facility in Hinton, WV
• Providers in Hinton, WV by specialty
• Nursing Facility/Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.