NPIMap

Organization Active NPI

Family Healthcare Associates Inc

  • Rural Health Clinic/Center
  • Man, WV
National Provider Identifier
1902835010
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
0015 Issued in WV
Legal business name
FAMILY HEALTHCARE ASSOCIATES INC
Practice address
114 Main Street
Man, WV 25635-0114
Phone
(304) 583-0019
Fax
(304) 583-0016
NPI assigned
Jul 1, 2006
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Samuel A Muscari Sr., DO
Title
President
Phone
(304) 294-4880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 0015 WV Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

114 Main Street
Man, WV 25635-0114

Mailing address

PO Box 1650
97 Main Ave
Pineville, WV 24874-1650
Phone (304) 732-6735

Other identifiers 2

IdentifierTypeStateIssuer
FA9306624OtherSTATE MEDICARE
5301010000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031210000848 WV Part B Supplier - Clinic/Group Practice 8325957996 Receives reassigned benefits from 26 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gilbert, WV; Man, WV; Mullens, WV; Oceana, WV; Pineville, WV; Welch, WV
O20100204000176 WV Part A Provider - Rural Health Clinic 8325957996 Practice locations: Man, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902835010. Details of each certification follow.

Rural health clinic certification: CCN 513900

Legal name
FAMILY HEALTHCARE ASSOCIATES INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 28, 2000
Last certification
Apr 30, 2019
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Aug 11, 1986 in WV
Enrollment address
114 Main Street
Man, WV 25635-0114

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0979141Family Healthcare Assoc Inc114 Main Street, Man, WV 25635Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samuel Muscari Individual 5% Or Greater Direct Ownership Interest Aug 11, 1986
General Partnership Interest Aug 11, 1986
Corporate Director Aug 11, 1986
Samuel Muscari Individual 5% Or Greater Direct Ownership Interest Aug 11, 1986
General Partnership Interest Aug 11, 1986
Corporate Director Aug 11, 1986
Michael a Muscari Individual 5% Or Greater Direct Ownership Interest Aug 11, 1986
General Partnership Interest Aug 11, 1986
Corporate Director Aug 11, 1986
Stephanie Sizemore Individual W-2 Managing Employee Jan 22, 2010
Anthony Flaim Individual 5% Or Greater Direct Ownership Interest Aug 11, 1986
General Partnership Interest Aug 11, 1986
Corporate Director Aug 11, 1986

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Anthony R Flaim, DO
    • Family Medicine Physician
    • Oceana, WV
    • NPI 1497867311

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

    CMS ownership
  • Michael A Muscari, DO
    • Family Medicine Physician
    • Oceana, WV
    • NPI 1528170438

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

    CMS ownership
  • Samuel A Muscari Sr., DO
    • Family Medicine Physician
    • Mullens, WV
    • NPI 1578675492

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

    CMS ownership
  • Samuel A Muscari Jr., DO
    • Family Medicine Physician
    • Pineville, WV
    • NPI 1598877409

    5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1902835010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "address_2": "97 MAIN AVE",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "248741650",
            "telephone_number": "304-732-6735",
            "fax_number": "304-732-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAIN STREET",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256350114",
            "telephone_number": "304-583-0019",
            "fax_number": "304-583-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "MUSCARI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-294-4880",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WV",
            "license": "0015",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICARE",
            "identifier": "FA9306624",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5301010000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Man, WV

Sources for this page

Verify at the official NPI Registry.