NPIMap

Organization Active NPI

Braxton County Senior Citizens Center, Inc.

  • Home Health Agency
  • Sutton, WV
National Provider Identifier
1740325604
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.
Practice address
23 Senior Center Dr
Sutton, WV 26601-9581
Phone
(304) 765-4090
Fax
(307) 765-4095
NPI assigned
Feb 20, 2007
Last updated
Sep 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Mary Beth Chapman
Title
Assistant Director
Phone
(304) 765-4090

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X WV
Non-emergency Medical Transport (VAN) 343900000X 75474 WV

Addresses

Primary practice location

23 Senior Center Dr
Sutton, WV 26601-9581

Mailing address

23 Senior Center Dr
Sutton, WV 26601-9581
Phone (304) 765-4090

Other practice location 1

33 Senior Center Dr
Sutton, WV 26601-9581
Phone (304) 765-4090

Other identifiers 3

IdentifierTypeStateIssuer
0030549000MedicaidWV
0030549001MedicaidWV
0030549002MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Braxton County Senior Citizens Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1740325604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SENIOR CENTER DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019581",
            "telephone_number": "304-765-4090",
            "fax_number": "307-765-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SENIOR CENTER DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019581",
            "telephone_number": "304-765-4090",
            "fax_number": "307-765-4095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Senior Center Dr",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "WV",
            "postal_code": "266019581",
            "country_code": "US",
            "telephone_number": "304-765-4090",
            "fax_number": "307-765-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "304-765-4090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "75474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030549000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030549001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030549002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.