NPIMap

Organization Active NPI

Home Base Inc.

  • Community/Behavioral Health Agency
  • Charleston, WV
National Provider Identifier
1871980557
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
135 Issued in WV
Legal business name
HOME BASE INC.
Practice address
713 Bigley Ave
Charleston, WV 25302-3356
Phone
(304) 746-2918
Fax
(304) 746-2919
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Damon C Cater
Title
Ceo
Phone
(304) 678-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 135 WV Primary

Addresses

Primary practice location

713 Bigley Ave
Charleston, WV 25302-3356

Mailing address

713 Bigley Ave.
Charleston, WV 25302
Phone (304) 746-2918

Other identifiers 2

IdentifierTypeStateIssuer
9435000000MedicaidWV
9435000001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Home Base Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

713 Bigley Ave
Charleston, WV 25302
Phone (304) 344-2225

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1871980557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 BIGLEY AVE.",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25302",
            "telephone_number": "304-746-2918",
            "fax_number": "304-746-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BIGLEY AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023356",
            "telephone_number": "304-746-2918",
            "fax_number": "304-746-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "CATER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-678-4159"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9435000000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9435000001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.