Active NPI
Kanawha Valley Senior Services
- Home Health Agency
- Charleston, WV
National Provider Identifier
1982825972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KANAWHA VALLEY SENIOR SERVICES
- Practice address
- 1710 Pennsylvania Ave
Charleston, WV 25302-3934 - Phone
- (304) 348-0707
- Fax
- (304) 348-6432
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Hirst
- Title
- Executive Director
- Phone
- (304) 348-0707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1710 Pennsylvania Ave
Charleston, WV 25302-3934
Mailing address
1710 Pennsylvania Ave
Charleston, WV 25302-3934
Phone (304) 348-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023790006 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Kanawha Valley Senior Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Charleston, WV
- NPI 1255476511
-
- Adult Day Care Clinic/Center
- Charleston, WV
- NPI 1932934791
Locations
2428 Kanawha Blvd E
Charleston, WV 25311
Phone (304) 348-0707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1982825972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 PENNSYLVANIA AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023934",
"telephone_number": "304-348-0707",
"fax_number": "304-348-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 PENNSYLVANIA AVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023934",
"telephone_number": "304-348-0707",
"fax_number": "304-348-6432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANAWHA VALLEY SENIOR SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "HIRST",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "304-348-0707"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023790006",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.