Calhoun County Committee on Aging

Organization Active NPI Home Health Agency · Grantsville, WV

NPI 1831593813 · NPPES record last updated Dec 29, 2020

Key facts

NPI
1831593813
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
10359463 (WV)
Legal business name
CALHOUN COUNTY COMMITTEE ON AGING
Practice address
105 Market Street
Grantsville, WV 26147
Phone
(304) 354-7017
Fax
(304) 354-6859
NPI assigned
Oct 20, 2014
Organization subpart
No

Authorized official

Name
Rick Poling
Title
Executive Director
Phone
(304) 354-7017

Corporate family (same tax ID) 2

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

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Calhoun County Committee on Aging (3 organizations share this tax ID)

Locations

105 Market St
Grantsville, WV 26147
Phone (304) 354-7017

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10359463 WV Yes

Addresses

Primary practice location

105 Market Street
Grantsville, WV 26147

Mailing address

105 Market Street
Grantsville, WV 26147
Phone (304) 354-7017

Other identifiers

IdentifierTypeStateIssuer
0030566001MedicaidWV

Other providers in Grantsville, WV

All providers in Grantsville, WV · Home Health Agency in West Virginia

Sources for this page

Verify at the official NPI Registry.