CHILDREN'S HOME SOCIETY OF WEST VIRGINIA (NPI# 1043339906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043339906 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOME SOCIETY OF WEST VIRGINIA |
| Practice Address |
1422 Kanawha Blvd E Charleston WV 25301-3002 |
| Practice Telephone | 3043460795 |
| Practice Fax Number | 3043461062 |
| Mailing Telephone | 3043460795 |
| Mailing Fax Number | 3043461062 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIMBERLY C. ARTHUR (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3043460795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 06GRR005 | WV | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0023441003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508985789 | Children's Home Society of West Virginia | Residential Treatment Facility, Emotionally Disturbed Children | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
| 1598884488 | Children's Home Society of West Virginia | Residential Treatment Facility, Emotionally Disturbed Children | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-29 |
| 1972622835 | Children's Home Society of West Virginia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-29 |
| Street Address |
1422 KANAWHA BLVD E |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508985789 | Children's Home Society of West Virginia | Residential Treatment Facility, Emotionally Disturbed Children | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
| 1598884488 | Children's Home Society of West Virginia | Residential Treatment Facility, Emotionally Disturbed Children | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-29 |
| 1972622835 | Children's Home Society of West Virginia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639344708 | Daymark Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1592 Washington Street East, Suite 2, Charleston, WV 25311 | 2008-04-29 |
| 1508985789 | Children's Home Society of West Virginia | Residential Treatment Facility, Emotionally Disturbed Children | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
| 1598884488 | Children's Home Society of West Virginia | Residential Treatment Facility, Emotionally Disturbed Children | 1422 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-29 |
| 1245370097 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 4360 Headquarters Rd, Charleston, SC 29405-7403 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609383298 | Genesis Youth Crisis Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 Chestnut Street, Parsons, WV 26287 | 2018-01-04 |
| 1447622618 | The Children's Home Society of West Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 142 Cherry St, Daniels, WV 25832-9695 | 2015-10-27 |
| 1649664855 | Yale Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswinds Dr, Fairmont, WV 26554-9193 | 2015-03-25 |
| 1366846016 | Family Connections, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3305 Tent Church Road, Colliers, WV 26035 | 2014-10-09 |
| 1427470277 | Burlington United Methodist Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5162 Us 220 North, Moorefield, WV 26836 | 2014-01-14 |
| 1164776589 | Mike Allen Beswick | Residential Treatment Facility, Emotionally Disturbed Children | 34 Potomac Crossway, Lewisburg, WV 24901-8900 | 2012-11-07 |
| 1730320060 | Golden Girl, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 999 B Street, Ceredo, WV 25507-0876 | 2009-03-17 |
| 1295972248 | Yore Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswind Drive, Fairmont, WV 26554 | 2009-01-13 |
| 1215199336 | Braley & Thompson, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12 Clotine St, Saint Albans, WV 25177-2509 | 2008-06-30 |
| 1366602039 | Board of Child Care, Wv | Residential Treatment Facility, Emotionally Disturbed Children | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2008-06-16 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on CHILDREN'S HOME SOCIETY OF WEST VIRGINIA.
| 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.