MOUNTAIN STATE HOME HEALTH CARE INC (NPI# 1235336298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235336298 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN STATE HOME HEALTH CARE INC |
| Practice Address |
254 George St Beckley WV 25801-2641 |
| Practice Telephone | 3042568201 |
| Practice Fax Number | 3042568204 |
| Mailing Telephone | 3042568201 |
| Mailing Fax Number | 3042568204 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | MRS. VALARIE L PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 3042568201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0031273000 | 05 |
| Street Address |
254 GEORGE ST |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770682700 | Mountain State Home Health Care, Inc. | Home Health | 254 George St, Beckley, WV 25801-2641 | 2006-09-22 |
| 1821699075 | Jonathan Phillips | Technician | 254 George St, Beckley, WV 25801-2641 | 2020-11-04 |
| 1821295643 | Americare Management Services | Case Management | 254 George St, Beckley, WV 25801-2641 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659777076 | Interim Healthcare of Pittsburgh | Nursing Care | 1111 Van Voorhis Rd, 2nd Floor, Morgantown, WV 26505-2737 | 2014-11-12 |
| 1275963571 | Choice Staffing, Inc. | Nursing Care | 167 Eagle School Rd, Martinsburg, WV 25404-3368 | 2013-11-22 |
| 1295077170 | Staff Medical 247, Inc. | Nursing Care | 142 N Queen St Rm 108, Martinsburg, WV 25401-3312 | 2013-03-19 |
| 1003001215 | Davita of Greenbrier | Nursing Care | 129 Seneca Trl, Lewisburg, WV 24901-1564 | 2007-09-11 |
| 1730386558 | Your Choice Home Care LLC | Nursing Care | 530 Gray Gables Rd, Crawley, WV 24931 | 2007-06-27 |
| 1205044765 | Elder Aide Services | Nursing Care | 1599 2nd Ave, Charleston, WV 25387-2514 | 2007-05-18 |
| 1659585537 | Boone County Community Organization | Nursing Care | 347 Kenmore Drive, Danville, WV 25053 | 2007-05-09 |
| 1497974828 | Taylor County Senior Citizens, Inc. | Nursing Care | Rr 2 Box 514, Grafton, WV 26354-9664 | 2007-04-24 |
| 1740325604 | Braxton County Senior Citizens Center, Inc. | Nursing Care | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2007-02-20 |
| 1255475265 | Louisa Home Care Services LLC | Nursing Care | 672 Court Street, Fort Gay, WV 25514 | 2007-02-16 |
| 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.