NPIMap

Organization Active NPI

Jefferson County Council on Aging

  • Home Health Agency
  • Ranson, WV
National Provider Identifier
1730506965
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JEFFERSON COUNTY COUNCIL ON AGING
Practice address
103 W 5TH Ave
Ranson, WV 25438-1405
Phone
(304) 724-7109
Fax
(304) 725-9500
NPI assigned
Mar 26, 2014
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Mrs. Sarah Pierson
Title
Finance Officer
Phone
(304) 724-7109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

103 W 5TH Ave
Ranson, WV 25438-1405

Mailing address

103 W 5TH Ave
Ranson, WV 25438-1405
Phone (304) 724-7109

Other identifiers 1

IdentifierTypeStateIssuer
0030624000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Council on Aging5 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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1730506965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W 5TH AVE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381405",
            "telephone_number": "304-724-7109",
            "fax_number": "304-725-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 5TH AVE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381405",
            "telephone_number": "304-724-7109",
            "fax_number": "304-725-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "304-724-7109",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030624000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.