NPIMap

Organization Active NPI

Rescare

  • Intellectual Disabilities Intermediate Care Facility
  • Summersville, WV
National Provider Identifier
1851456636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
340 Issued in WV
Legal business name
RESCARE
Practice address
509 Duffy St
Summersville, WV 26651-1311
Phone
(304) 872-2042
NPI assigned
Dec 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine Shaw
Title
Exectuive Director
Phone
(304) 645-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 340 WV Primary

Addresses

Primary practice location

509 Duffy St
Summersville, WV 26651-1311

Mailing address

208 S Court St
Lewisburg, WV 24901-1310

Other identifiers 1

IdentifierTypeStateIssuer
0005258012MedicaidWV

Other names 1

  • VOCA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rescare27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851456636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S COURT ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 DUFFY ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511311",
            "telephone_number": "304-872-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "EXECTUIVE DIRECTOR",
        "authorized_official_telephone_number": "304-645-1110"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005258012",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VOCA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.