Active NPI
Lana I Phillips
- Case Management Agency
- Beverly, WV
National Provider Identifier
1821270950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 070820
- Legal business name
- LANA I PHILLIPS
- Practice address
- 328 Main St
Beverly, WV 26253-9759 - Phone
- (304) 637-2567
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Lana I Phillips
- Title
- Owner
- Phone
- (304) 637-2567
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Beverly, WV
- NPI 1518019819
National Provider Directory
National Provider Directory- Tax ID family
- Lana I Phillips
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 070820 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
328 Main St
Beverly, WV 26253-9759
Mailing address
328 Main St
Beverly, WV 26253-9759
Phone (304) 637-2567
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810009731 | Medicaid | WV |
Other names 1
NPPES NPI Registry- Ultra Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2008.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1821270950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 MAIN ST",
"city": "BEVERLY",
"state": "WV",
"postal_code": "262539759",
"telephone_number": "304-637-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 MAIN ST",
"city": "BEVERLY",
"state": "WV",
"postal_code": "262539759",
"telephone_number": "304-637-2567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANA I PHILLIPS",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "LANA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-637-2567",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WV",
"license": "070820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810009731",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ultra Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beverly, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.