Mainstream Services, Incorporated

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

278 Issued in WV

Legal business name

MAINSTREAM SERVICES, INCORPORATED

Practice address

4757C Route 152
Lavalette, WV 25535-9703

Phone

(304) 522-1945

Fax

(304) 522-1946

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Deana Prince

Title

Service Coordinator

Phone

(304) 522-1945

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902801426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757C ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359703",
            "telephone_number": "304-522-1945",
            "fax_number": "304-522-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757C ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359703",
            "telephone_number": "304-522-1945",
            "fax_number": "304-522-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "SERVICE COORDINATOR",
        "authorized_official_telephone_number": "304-522-1945",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001125",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Lavalette, WV
• Providers in Lavalette, WV by specialty
• Case Management Agency in West Virginia

• 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.