Organization Active NPI

Council on Aging

  • Home Health Agency
  • Itmann, WV
National Provider Identifier
1770614356
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNCIL ON AGING
Practice address
Route 10
Old Itmann Grade School
Itmann, WV 24847
Phone
(304) 294-8800
NPI assigned
Mar 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Jennifer Gibson
Title
Executive Director
Phone
(304) 294-8800

Specialties & licenses 2

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

Addresses

Primary practice location

Route 10
Old Itmann Grade School
Itmann, WV 24847

Mailing address

PO Box 130
Itmann, WV 24847-0130
Phone (304) 294-8800

Other identifiers 3

IdentifierTypeStateIssuer
0030823002MedicaidWV
0030823003MedicaidWV
0030823000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Council on Aging 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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770614356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "ITMANN",
            "state": "WV",
            "postal_code": "248470130",
            "telephone_number": "304-294-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 10",
            "address_2": "OLD ITMANN GRADE SCHOOL",
            "city": "ITMANN",
            "state": "WV",
            "postal_code": "24847",
            "telephone_number": "304-294-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-294-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030823002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030823003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030823000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Itmann, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.