Organization Active NPI

Pennington Gap Hma Inc

  • Home Health Agency
  • Pennington Gap, VA
National Provider Identifier
1891736005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

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
Timothy Parry, ESQ
Title
Sr VP and General Counsel
Phone
(239) 598-3176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
442392OtherVABLUE CROSS VA HHA

Other names 1

  • Lee Regional Home Health Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.