Active NPI
Pennington Gap Hma Inc
- Home Health Agency
- Pennington Gap, VA
National Provider Identifier
1891736005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PENNINGTON GAP HMA INC
- Practice address
- West Morgan Avenue
Pennington Gap, VA 24277 - Phone
- (276) 546-1440
- NPI assigned
- Jun 9, 2006
- 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
- Timothy Parry, ESQ
- Title
- Sr VP and General Counsel
- Phone
- (239) 598-3176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
West Morgan Avenue
Pennington Gap, VA 24277
Mailing address
West Morgan Avenue
Pennington Gap, VA 24277
Phone (276) 546-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442392 | Other | VA | BLUE CROSS VA HHA |
Other names 1
- Lee Regional Home Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891736005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WEST MORGAN AVENUE",
"city": "PENNINGTON GAP",
"state": "VA",
"postal_code": "24277",
"telephone_number": "276-546-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WEST MORGAN AVENUE",
"city": "PENNINGTON GAP",
"state": "VA",
"postal_code": "24277",
"telephone_number": "276-546-1440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNINGTON GAP HMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARRY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "SR VP AND GENERAL COUNSEL",
"authorized_official_telephone_number": "239-598-3176",
"authorized_official_credential": "ESQ"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS VA HHA",
"identifier": "442392",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lee Regional Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pennington Gap, VA
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.