DAVITA OF GREENBRIER (NPI# 1003001215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003001215 |
| Entity Type | Organization |
| Organization Name | DAVITA OF GREENBRIER |
| Other Organization Name | GAMBRO HEALTHCARE |
| Practice Address |
129 Seneca Trl Lewisburg WV 24901-1564 |
| Practice Telephone | 3046454806 |
| Practice Fax Number | 3046473941 |
| Mailing Telephone | 3046454806 |
| Mailing Fax Number | 3046473941 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MARILYN KELLEY (FACILITY ADMINISTRATOR) |
| Authorized Official Telephone | 3046454806 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 030330 | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005742000 | 05 |
| Other Name | Type Code |
|---|---|
| Gambro Healthcare | Former Legal Business Name - Organization |
| Street Address |
129 SENECA TRL |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144503913 | William M. Allen, Jr. Lpn | Nursing Care | 1005 N Commerce St, Apt. 4, Lewisburg, OH 45338-9801 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659777076 | Interim Healthcare of Pittsburgh | Nursing Care | 1111 Van Voorhis Rd, 2nd Floor, Morgantown, WV 26505-2737 | 2014-11-12 |
| 1275963571 | Choice Staffing, Inc. | Nursing Care | 167 Eagle School Rd, Martinsburg, WV 25404-3368 | 2013-11-22 |
| 1295077170 | Staff Medical 247, Inc. | Nursing Care | 142 N Queen St Rm 108, Martinsburg, WV 25401-3312 | 2013-03-19 |
| 1730386558 | Your Choice Home Care LLC | Nursing Care | 530 Gray Gables Rd, Crawley, WV 24931 | 2007-06-27 |
| 1205044765 | Elder Aide Services | Nursing Care | 1599 2nd Ave, Charleston, WV 25387-2514 | 2007-05-18 |
| 1659585537 | Boone County Community Organization | Nursing Care | 347 Kenmore Drive, Danville, WV 25053 | 2007-05-09 |
| 1497974828 | Taylor County Senior Citizens, Inc. | Nursing Care | Rr 2 Box 514, Grafton, WV 26354-9664 | 2007-04-24 |
| 1740325604 | Braxton County Senior Citizens Center, Inc. | Nursing Care | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2007-02-20 |
| 1255475265 | Louisa Home Care Services LLC | Nursing Care | 672 Court Street, Fort Gay, WV 25514 | 2007-02-16 |
| 1023157005 | Helping Hands for Independent Living, Inc. | Nursing Care | 726 Riverview Dr, Belmont, WV 26134-9719 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.