NPIMap

Organization Active NPI

Cabell County Community Services Organization, Inc.

  • Home Health Agency
  • Huntington, WV
National Provider Identifier
1891977070
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0030563001 Issued in WV
Legal business name
CABELL COUNTY COMMUNITY SERVICES ORGANIZATION, INC.
Practice address
724 10TH Ave
Huntington, WV 25701-2733
Phone
(304) 529-4952
Fax
(304) 525-2061
NPI assigned
Nov 29, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mr. Robert Edwin Roswall
Title
Executive Director
Phone
(304) 529-4952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0030563001 WV Primary

Addresses

Primary practice location

724 10TH Ave
Huntington, WV 25701-2733

Mailing address

724 10TH Ave
Huntington, WV 25701-2733
Phone (304) 529-4952

Other identifiers 1

IdentifierTypeStateIssuer
0030563001MedicaidWV

Other names 1

  • CCCSO Other name

National Provider Directory

National Provider Directory
Tax ID family
Cabell County Community Services Organization 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.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1891977070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 10TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012733",
            "telephone_number": "304-529-4952",
            "fax_number": "304-525-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 10TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012733",
            "telephone_number": "304-529-4952",
            "fax_number": "304-525-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABELL COUNTY COMMUNITY SERVICES ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "ROSWALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-529-4952",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": "0030563001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030563001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCCSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.