Organization Active NPI

Individual Home Care, Inc.

  • Case Management Agency
  • Summersville, WV
National Provider Identifier
1922334242
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1046-9961 Issued in WV
Legal business name
INDIVIDUAL HOME CARE, INC.
Practice address
77 Puddy Run Rd
Summersville, WV 26651
Phone
(304) 872-2189
Fax
(304) 872-2189
NPI assigned
Oct 21, 2009
Organization subpart
Yes
Parent organization
INDIVIDUAL HOME CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mark Romano
Title
Owner/President
Phone
(304) 872-2189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1046-9961 WV Primary

Addresses

Primary practice location

77 Puddy Run Rd
Summersville, WV 26651

Mailing address

PO Box 455
Summersville, WV 26651-0455
Phone (304) 872-2189

Other identifiers 1

IdentifierTypeStateIssuer
0031070000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Individual Home Care Inc2 organizations share this tax ID, including this one
Part of
Individual Home Care Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1922334242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266510455",
            "telephone_number": "304-872-2189",
            "fax_number": "304-872-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PUDDY RUN RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "26651",
            "telephone_number": "304-872-2189",
            "fax_number": "304-872-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL HOME CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIVIDUAL HOME CARE, INC.",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "304-872-2189"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "1046-9961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031070000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.