Organization Active NPI

Tucker County Senior Citizens, Inc.

  • Home Health Agency
  • Parsons, WV
National Provider Identifier
1760664635
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TUCKER COUNTY SENIOR CITIZENS, INC.
Practice address
206 3Rd St
Parsons, WV 26287-1041
Phone
(304) 478-2423
Fax
(304) 478-4828
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mary A. Smith
Title
Financial Officer
Phone
(304) 478-2423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

206 3Rd St
Parsons, WV 26287-1041

Mailing address

206 3Rd St
Parsons, WV 26287-1041
Phone (304) 478-2423

Other identifiers 3

IdentifierTypeStateIssuer
0030787001MedicaidWV
0030787000MedicaidWV
0030787002MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Tucker County Senior Citizens Inc3 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.

Locations

206 Third St
Parsons, WV 26287
Phone (304) 478-2423

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1760664635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 3RD ST",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262871041",
            "telephone_number": "304-478-2423",
            "fax_number": "304-478-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 3RD ST",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262871041",
            "telephone_number": "304-478-2423",
            "fax_number": "304-478-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER COUNTY SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-478-2423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030787001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030787000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030787002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.