Nella'S Nursing Home, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

17 Issued in WV

Legal business name

NELLA'S NURSING HOME, INC

Practice address

200 Whiteman Ave
Crystal Springs
Elkins, WV 26241-3400

Phone

(304) 636-2033

Fax

(304) 637-6206

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Shasta L. Hyson

Title

Administrator

Phone

(304) 636-2033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1780682088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1399",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411399",
            "telephone_number": "304-636-2033",
            "fax_number": "304-637-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITEMAN AVE",
            "address_2": "CRYSTAL SPRINGS",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413400",
            "telephone_number": "304-636-2033",
            "fax_number": "304-637-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLA'S NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "HYSON",
        "authorized_official_first_name": "SHASTA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-636-2033",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Elkins, WV
• Providers in Elkins, 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 Jul 13, 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.