NPIMap

Organization Active NPI

Council of Senior Tyler Countians, Inc.

  • Nursing Care Agency
  • Middlebourne, WV
National Provider Identifier
1891977575
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
COUNCIL OF SENIOR TYLER COUNTIANS, INC.
Practice address
504 Cherry Street
Middlebourne, WV 26149
Phone
(304) 758-4919
Fax
(304) 758-4860
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Tim James
Title
Director
Phone
(304) 758-4919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

504 Cherry Street
Middlebourne, WV 26149

Mailing address

PO Box 68
Middlebourne, WV 26149-0068
Phone (304) 758-4919

Other identifiers 1

IdentifierTypeStateIssuer
0030589000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Council of Senior Tyler Countians Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1891977575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "MIDDLEBOURNE",
            "state": "WV",
            "postal_code": "261490068",
            "telephone_number": "304-758-4919",
            "fax_number": "304-758-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 CHERRY STREET",
            "city": "MIDDLEBOURNE",
            "state": "WV",
            "postal_code": "26149",
            "telephone_number": "304-758-4919",
            "fax_number": "304-758-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL OF SENIOR TYLER COUNTIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-758-4919"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030589000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebourne, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.