Active NPI
Aging and Family Services of Mineral County, Inc.
- Community/Behavioral Health Agency
- Keyser, WV
National Provider Identifier
1871628941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AGING AND FAMILY SERVICES OF MINERAL COUNTY, INC.
- Practice address
- 1 S Main St
Keyser, WV 26726-3127 - Phone
- (304) 788-5467
- Fax
- (304) 788-6363
- NPI assigned
- Feb 22, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Scott Mallery
- Title
- Executive Director
- Phone
- (304) 788-5467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1 S Main St
Keyser, WV 26726-3127
Mailing address
1 S Main St
Keyser, WV 26726-3127
Phone (304) 788-5467
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030679000 | Medicaid | WV | |
| 0030679001 | Medicaid | WV | |
| 0030679002 | Medicaid | WV | |
| 9030021000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Aging Family Services of Mineral County Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Keyser, WV
- NPI 1518385103
-
- Non-emergency Medical Transport (VAN)
- Keyser, WV
- NPI 1659799039
-
- In Home Supportive Care Agency
- Keyser, WV
- NPI 1740608009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871628941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S MAIN ST",
"city": "KEYSER",
"state": "WV",
"postal_code": "267263127",
"telephone_number": "304-788-5467",
"fax_number": "304-788-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S MAIN ST",
"city": "KEYSER",
"state": "WV",
"postal_code": "267263127",
"telephone_number": "304-788-5467",
"fax_number": "304-788-6363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGING AND FAMILY SERVICES OF MINERAL COUNTY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALLERY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "304-788-5467",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030679000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030679001",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030679002",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9030021000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keyser, 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.