STARS OF APPALACHIA, INC (NPI# 1205990082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205990082 |
| Entity Type | Organization |
| Organization Name | STARS OF APPALACHIA, INC |
| Practice Address |
901 Broad St Summersville WV 26651-1708 |
| Mailing Address |
Po Box 366 Summersville WV 26651-0366 |
| Practice Telephone | 3048729531 |
| Practice Fax Number | 3048720757 |
| Mailing Telephone | 3048729531 |
| Mailing Fax Number | 3048720757 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT IRWIN GOLDSTEIN (PRESIDENT) |
| Authorized Official Telephone | 3079729531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 138 | WV | Agencies |
| Street Address |
901 BROAD ST |
| City | SUMMERSVILLE |
| State | WV |
| Zip Code | 26651-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1104425396 | Travis Giles | Physical Therapy Assistant | 2129 Canvas Nettie Rd, Summersville, WV 26651 | 2020-10-20 |
| 1043837586 | Clorinda L Workman | Registered Nurse | 221 Bright of America Road, Summersville, WV 26651 | 2020-07-01 |
| 1669947222 | Camden On Gauley Medical Center, Inc. | Clinic/Center | 70 Grade School Lane, Summersville, WV 26651 | 2018-10-10 |
| 1902310451 | Carolyn Maxwell Evans | Technician | 554 Ritchie Farm Road, Summersville, WV 26651 | 2017-11-20 |
| 1568904829 | Nicholas Community Action Partnership, Inc | Case Management | 1205 Broad Street, Summersville, WV 26651 | 2016-11-17 |
| 1831645647 | Rachel Hendricks | Psychologist | 400 Old Main Drive, Nicholas County Schools, Summersville, WV 26651 | 2016-08-31 |
| 1831592542 | Vass Vocational Services, In. | Case Manager/Care Coordinator | 304 Bibb Lane, Summersville, WV 26651 | 2014-10-08 |
| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1437426459 | All Med, LLC | Durable Medical Equipment & Medical Supplies | 602 Appalachian Dr., Summersville, WV 26651 | 2011-11-18 |
| Find all providers in zip 26651 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821113408 | Pine View Christian Home | Day Training, Developmentally Disabled Services | 4281 Highway 17, Summersville, MO 65571-8204 | 2007-03-20 |
| 1518953652 | Seneca Health Services Inc | Day Training, Developmentally Disabled Services | 1 Stevens Rd, Seneca Health Services Inc, Summersville, WV 26651-9704 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083171078 | Premium Martial Arts Wv LLC | Day Training, Developmentally Disabled Services | 963 Dunbar Village Plz, Dunbar, WV 25064-3137 | 2019-02-26 |
| 1396255261 | Go Journey Journal, Inc. | Day Training, Developmentally Disabled Services | 11738 Maccorkle Ave, Charleston, WV 25315-1035 | 2017-10-05 |
| 1902205214 | Family Options Providers Inc. | Day Training, Developmentally Disabled Services | 550 N Eisenhower Dr Ste A, Beckley, WV 25801-3146 | 2014-08-22 |
| 1790199487 | County of Boone - Board of Health | Day Training, Developmentally Disabled Services | 213 Kenmore Dr, Danville, WV 25053-6890 | 2014-06-20 |
| 1598911638 | Preston County Sheltered Workship, Inc | Day Training, Developmentally Disabled Services | Rt 92 S Jennmar Road, Reedsville, WV 26547 | 2008-08-08 |
| 1235392556 | Vocational Services, Inc. | Day Training, Developmentally Disabled Services | 2178 Big Sandy Road, Amma, WV 25005 | 2008-07-07 |
| 1346401734 | Sheltered Workshop of Nicholas County | Day Training, Developmentally Disabled Services | 16810 Webster Rd., Po Drawer 730, Craigsville, WV 26205-0730 | 2008-06-19 |
| 1871761312 | Job Squad, Inc. | Day Training, Developmentally Disabled Services | 102 Second Street, Bridgeport, WV 26330 | 2008-02-19 |
| 1649457367 | Buckhannon-upshur Work Adjustment Center,inc. | Day Training, Developmentally Disabled Services | Rr 2 Box 62, Buckhannon, WV 26201-9503 | 2008-01-24 |
| 1548470412 | Global Access LLC | Day Training, Developmentally Disabled Services | 25 Estill Dr, Charleston, WV 25314-1523 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERSVILLE |
| Zip Code | 26651 |
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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.