NPIMap

Organization Active NPI

Essential Needs Homecare

  • In Home Supportive Care Agency
  • Fairmont, WV
National Provider Identifier
1821424755
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2289-3837 Issued in WV
Legal business name
ESSENTIAL NEEDS HOMECARE
Practice address
16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone
(304) 816-3687
Fax
(304) 816-3737
NPI assigned
Sep 24, 2013
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mrs. Nancy J. Collins, RNNPI 1730786831
Title
Owner/Supervisor
Phone
(304) 816-3687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2289-3837 WV Primary

Addresses

Primary practice location

16 Mountain Park Dr
Fairmont, WV 26554-8992

Mailing address

2019 Pleasant Valley Rd
Fairmont, WV 26554-9295
Phone (304) 818-3687

National Provider Directory

National Provider Directory
Tax ID family
Essential Needs Homecare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1821424755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 PLEASANT VALLEY RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549295",
            "telephone_number": "304-818-3687",
            "fax_number": "304-816-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL NEEDS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "304-816-3687",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "2289-3837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.