STONEWALL JACKSON MEMORIAL HOSPITAL (NPI# 1083617989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083617989 |
| Entity Type | Organization |
| Organization Name | STONEWALL JACKSON MEMORIAL HOSPITAL |
| Other Organization Name | STONEWALL JACKSON HOME CARE |
| Practice Address |
456 Suite B Market Place Mall Weston WV 26452-6938 |
| Practice Telephone | 3042694556 |
| Practice Fax Number | 3042694559 |
| Mailing Telephone | 3042694556 |
| Mailing Fax Number | 3042694559 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-11-13 |
| Authorized Official Name | MRS. M. JANE EISENBEIS (DIRECTOR OF EXTERNAL OPERATIONS) |
| Authorized Official Telephone | 3042694556 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | ========= | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | HEALTH PLAN | WV22958A | 01 |
| WV | 0001417001 | 05 | |
| WV | FEDERAL BLACK LUNG | 300699 | 01 |
| Other Name | Type Code |
|---|---|
| STONEWALL JACKSON HOME CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063764348 | Stonewall Jackson Memorial Hospital | Clinic/Center | 230 Hospital Plz, Weston, WV 26452-8558 | 2012-10-10 |
| 1225299605 | Stonewall Jackson Memorial Hospital | Family Medicine | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 | 2008-06-19 |
| 1669633962 | Stonewall Jackson Memorial Hospital | Obstetrics & Gynecology | 66 Hospital Plz, Suite 103, Weston, WV 26452-8552 | 2008-06-19 |
| 1841451226 | Stonewall Jackson Memorial Hospital | Orthopaedic Surgery | 29 Hospital Plz, Suite C, Weston, WV 26452-8470 | 2008-06-19 |
| Street Address |
456 SUITE B MARKET PLACE MALL |
| City | WESTON |
| State | WV |
| Zip Code | 26452-6938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149702 | Stonerise Home Health Services 2 LLC | Home Health | 456 Suite B Market Place Mall, Weston, WV 26452 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1316585441 | Globalesm, Inc | Home Health | 4337 Dogwood Cir, Weston, FL 33331-5004 | 2019-12-19 |
| 1194283820 | Focused Home Health Agency, Inc. | Home Health | 2394 Weston Rd, Weston, FL 33326 | 2019-03-12 |
| 1760949903 | Sun Companions Corporation | Home Health | 1820 N Corporate Lakes Blvd Ste 108, Weston, FL 33326-3268 | 2019-02-25 |
| 1932513256 | Loving Hearts Phc | Home Health | 66 S Center St, Weston, ID 83286-5010 | 2014-06-13 |
| 1780924589 | Jesscare Inc | Home Health | 145 W Bayridge Dr, Weston, FL 33326-3529 | 2013-02-15 |
| 1861753055 | Liliana C Perez | Home Health | 1331 Croton Ct, Weston, FL 33327-2039 | 2012-06-04 |
| 1801108964 | A1 Tendercare At Home LLC | Home Health | 2903 Norma Ave, Weston, WI 54476-2554 | 2010-07-06 |
| 1528208378 | Worldnet Services | Home Health | 3050 Universal Blvd, Suite 150, Weston, FL 33331-3528 | 2009-03-05 |
| 1710136601 | Medical Staffing Network, Inc. | Home Health | 2645 Executive Park Dr Ste 105, Weston, FL 33331-3624 | 2008-09-16 |
| Find all providers in WESTON | ||||
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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.