Clay SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CLAY SNF LLC

Doing business as

Clay Rehab & Nursing Center

Practice address

1053 Clinic Dr
Ivydale, WV 25113-8266

Phone

(304) 286-4204

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ari Zadeh

Title

Authorized Official

Phone

(516) 205-5520

Specialties & licenses 1

Addresses

Other names 1

• CLAY REHAB & NURSING CENTER Doing business as

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1851212591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 CLINIC DR",
            "city": "IVYDALE",
            "state": "WV",
            "postal_code": "251138266",
            "telephone_number": "304-286-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 CLINIC DR",
            "city": "IVYDALE",
            "state": "WV",
            "postal_code": "251138266",
            "telephone_number": "304-286-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "ZADEH",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-205-5520"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAY REHAB & NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinic Leasing Co., LLC (Clay Healthcare Center)
• Community Care of West Virginia, Inc. (Community Care of Big Otter)
• Melissa Cottrell
• Pamela Faye Douglas
• Vicki Douglas

• Skilled Nursing Facility in Ivydale, WV
• Providers in Ivydale, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.