MULLENS MANOR, INC (NPI# 1063562288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063562288 |
| Entity Type | Organization |
| Organization Name | MULLENS MANOR, INC |
| Practice Address |
1238a Guyandotte Ave Mullens WV 25882-1014 |
| Mailing Address |
Po Box 1964 Pineville WV 24874-1964 |
| Practice Telephone | 3042947587 |
| Practice Fax Number | 3042947597 |
| Mailing Telephone | 3042947587 |
| Mailing Fax Number | 3042947597 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. REBECCA JEAN LOVEJOY (ADMINISTRATOR) |
| Authorized Official Telephone | 3042947587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 506120 | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | ASSISTED LIVING | 506120 | 01 |
| Street Address |
1238A GUYANDOTTE AVE |
| City | MULLENS |
| State | WV |
| Zip Code | 25882-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760721039 | Joshua Tollison Bishop | Physician Assistant | 205 Howard Ave, Mullens, WV 25882 | 2013-02-06 |
| 1487973756 | Charles E. Porterfield | Clinic/Center | 202 3rd St., Mullens, WV 25882 | 2010-05-25 |
| 1578675492 | Samuel A Muscari Sr. | Family Medicine | 205 Howard Avenue, Family Healthcare Assoc Inc, Mullens, WV 25882 | 2006-08-31 |
| 1700815800 | Family Healthcare Associates Inc | Family Medicine | 205 Howard Avenue, Mullens, WV 25882-0205 | 2006-07-01 |
| 1346431848 | American Medical, Inc | Durable Medical Equipment & Medical Supplies | 214 Moran Ave, Mullens, WV 25882-0214 | 2007-08-08 |
| 1609482363 | Sonia Frances Sink | Technician | 953 Guyandotte Ave, Mullens, WV 25882-1007 | 2020-09-18 |
| 1487032595 | Bobby Griffith | Counselor | 944 Guyandotte Ave, Mullens, WV 25882-1008 | 2015-05-08 |
| 1972066868 | New Perspectives Counseling Services | Counselor | 944 Guyandotte Ave, Mullens, WV 25882-1008 | 2019-04-09 |
| 1831706654 | April Tilley | Technician | 916 Farley Ave, Mullens, WV 25882-1112 | 2020-09-25 |
| 1477183614 | Alison Jaide Deweese | Licensed Practical Nurse | 711 Highland Ave, Mullens, WV 25882-1221 | 2020-01-15 |
| Find all providers in zip 25882 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049175 | Devonshire Al Operations, LLC | Assisted Living Facility | 5 Bexley Dr, Scott Depot, WV 25560-4504 | 2020-09-24 |
| 1073099073 | Greenwich Investors Cedar Grove Operator LLC | Assisted Living Facility | 110 Nicolette Rd, Parkersburg, WV 26104-7241 | 2018-07-13 |
| 1225526650 | Jonathan and Blessing LLC | Assisted Living Facility | 5312 Morning Dove Ln, Charleston, WV 25313-1154 | 2018-05-01 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1801211701 | Genesis | Assisted Living Facility | 934 S Fayette St, Beckley, WV 25801-6549 | 2014-02-28 |
| 1538427075 | Windy Hill Village | Assisted Living Facility | 17024 Veterans Memorial Hwy, Kingwood, WV 26537-8013 | 2012-05-02 |
| 1790069656 | Grayson Assisted Living Facility | Assisted Living Facility | 25 Old Trl, 3455 St Rt 75, Huntington, WV 25704-9281 | 2011-10-10 |
| 1164620902 | Braley Care Homes Inc | Assisted Living Facility | 2619 Knox Ave, Saint Albans, WV 25177-2130 | 2007-07-03 |
| 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.