MARTINSBURG WORK CENTER LLC (NPI# 1043417975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043417975 |
| Entity Type | Organization |
| Organization Name | MARTINSBURG WORK CENTER LLC |
| Practice Address |
24 Integrity Ter Martinsburg WV 25401-3524 |
| Mailing Address |
Po Box 1265 Martinsburg WV 25402-1265 |
| Practice Telephone | 3042629600 |
| Practice Fax Number | 3042626900 |
| Mailing Telephone | 3042629600 |
| Mailing Fax Number | 3042626900 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-08-21 |
| Authorized Official Name | MRS. BRENDA LEE KOONTZ (OFFICE ASSISTANT) |
| Authorized Official Telephone | 3042629600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | WV | Residential Treatment Facilities |
| Street Address |
24 INTEGRITY TER |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730347402 | The Martinsburg Work Center II | Preferred Provider Organization | 24 Integrity Ter, Martinsburg, WV 25405-3524 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602950 | True Choice Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 188 Taylor St, Ronceverte, WV 24970-1598 | 2019-10-29 |
| 1356825640 | Focused On You, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1709 Us Route 60 W, Milton, WV 25541-1133 | 2018-09-21 |
| 1891293056 | Linx Community Service, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1307 Williamstown Pike, Williamstown, WV 26187-8168 | 2018-01-23 |
| 1073737706 | Sycamore Run, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 2 Box 215a, Keyser, WV 26726-9230 | 2007-04-12 |
| 1316046956 | Horizons Center for Independent Living Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 934 Williams St, Parkersburg, WV 26101-4851 | 2006-09-21 |
| 1164606935 | Florence Crittenton Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2606 National Rd, Wheeling, WV 26003-5370 | 2007-12-28 |
| 1255548186 | Martin Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 521 Market St, Parkersburg, WV 26101-5150 | 2007-05-17 |
| City | MARTINSBURG |
| Zip Code | 25401 |
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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.