NPIMap

Organization Active NPI

Mountain Empire Older Citizens, Inc

  • In Home Supportive Care Agency
  • Big Stone Gap, VA
National Provider Identifier
1942683339
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MOUNTAIN EMPIRE OLDER CITIZENS, INC
Practice address
1501 3Rd Ave E
Big Stone Gap, VA 24219-3115
Phone
(276) 523-4202
Fax
(276) 523-4208
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Teresa Shoop
Title
Associate Accountant
Phone
(276) 523-4202

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

1501 3Rd Ave E
Big Stone Gap, VA 24219-3115

Mailing address

PO Box 888
1501 Third Avenue East
Big Stone Gap, VA 24219-0888
Phone (276) 523-4202

Other identifiers 2

IdentifierTypeStateIssuer
1184807661MedicaidVA
1972534659MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Mountain Empire Older Citizens 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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1942683339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "address_2": "1501 THIRD AVENUE EAST",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190888",
            "telephone_number": "276-523-4202",
            "fax_number": "276-523-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 3RD AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193115",
            "telephone_number": "276-523-4202",
            "fax_number": "276-523-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN EMPIRE OLDER CITIZENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "SHOOP",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ASSOCIATE ACCOUNTANT",
        "authorized_official_telephone_number": "276-523-4202"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184807661",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972534659",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.