Markglen, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

138 Issued in WV

Legal business name

MARKGLEN, INC.

Doing business as

Shenandoah Health Village Center

Practice address

50 Mulberry Tree Street
Charles Town, WV 25414-1170

Phone

(304) 724-1101

Fax

(304) 724-1105

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Jane Dropeskey

Title

Corporate Manager

Phone

(610) 925-4231

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Shenandoah Health Village Center Doing business as

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1942245006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MULBERRY TREE STREET",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141170",
            "telephone_number": "304-724-1101",
            "fax_number": "304-724-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKGLEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "DROPESKEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "610-925-4231"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "250762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED - MAMSI",
            "identifier": "282248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST PROV/INQ#",
            "identifier": "027B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST - IND/PPO",
            "identifier": "PY4",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST - BLUECHOICE",
            "identifier": "PY4",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003718000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Health Village Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Luckini
• Katelyn R Ludrof, RN
• Marjorie Lynch, LPC
• Keri-Anne Mackenzie, PTA
• Braden Mancini
• Angela Martin
• Annette Marie Mason, PT
• Michael B Matela, MD
• Rachel T Mauck, SPEECH THERAPIST
• Nina Mazelev

• Skilled Nursing Facility in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.