Organization Active NPI

Lana I Phillips

  • Case Management Agency
  • Beverly, WV
National Provider Identifier
1821270950
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
070820 Issued in WV
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.

National Provider Directory

National Provider Directory
Tax ID family
Lana I Phillips (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 070820 WV Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
3810009731MedicaidWV

Other names 1

NPPES NPI Registry
  • Ultra Care Doing business as

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.

Verify at the official NPI Registry.