NPIMap

Organization Active NPI

Harris Community Care Inc

  • Adult Care Home Facility
  • Martinsburg, WV
National Provider Identifier
1942416979
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HARRIS COMMUNITY CARE INC
Practice address
709 W Burke St
Martinsburg, WV 25401-2709
Phone
(304) 263-7764
Fax
(304) 263-7330
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Helen Harris
Title
President
Phone
(304) 263-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

709 W Burke St
Martinsburg, WV 25401-2709

Mailing address

709 W Burke St
Martinsburg, WV 25401-2709
Phone (304) 263-7764

Other identifiers 1

IdentifierTypeStateIssuer
0030906000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Harris Community Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1942416979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W BURKE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012709",
            "telephone_number": "304-263-7764",
            "fax_number": "304-263-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W BURKE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012709",
            "telephone_number": "304-263-7764",
            "fax_number": "304-263-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-263-7764"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030906000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.