NPIMap

Organization Active NPI

Preston County Senior Citizens, Inc.

  • Home Health Agency
  • Kingwood, WV
National Provider Identifier
1992921266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESTON COUNTY SENIOR CITIZENS, INC.
Practice address
421 E. Main St.
Kingwood, WV 26537
Phone
(304) 329-0464
Fax
(304) 329-2584
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sidney Murphy
Title
Executive Director
Phone
(304) 329-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

421 E. Main St.
Kingwood, WV 26537

Mailing address

PO Box 10
Kingwood, WV 26537-0010
Phone (304) 329-0464

Other identifiers 1

IdentifierTypeStateIssuer
0030957001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Preston County Senior 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.

Locations

421 E Main St
Kingwood, WV 26537
Phone (304) 329-0464

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992921266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265370010",
            "telephone_number": "304-329-0464",
            "fax_number": "304-329-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E. MAIN ST.",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "26537",
            "telephone_number": "304-329-0464",
            "fax_number": "304-329-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON COUNTY SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-329-0464"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030957001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.