PRIDE COMMUNITY SERVICES, INC. (NPI# 1295230001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295230001 |
| Entity Type | Organization |
| Organization Name | PRIDE COMMUNITY SERVICES, INC. |
| Practice Address |
699 Stratton St Logan WV 25601-4020 |
| Mailing Address |
Po Box 1346 Logan WV 25601-1346 |
| Practice Telephone | 3047526868 |
| Practice Fax Number | 3047521047 |
| Mailing Telephone | 3047526868 |
| Mailing Fax Number | 3047521047 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | LISHA WHITT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3047526868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0030732000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275899452 | Pride Community Services, Inc. | Case Management | 699 Stratton St, Logan, WV 25601-4020 | 2012-04-02 |
| 1922374883 | Pride Community Services, Inc. | Psychologist | 699 Stratton St, Logan, WV 25601-4020 | 2012-03-26 |
| 1922371400 | Pride Community Services, Inc. | Day Training, Developmentally Disabled Services | 699 Stratton St, Logan, WV 25601-4020 | 2012-02-15 |
| Street Address |
699 STRATTON ST |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245228071 | Pride In Logan Co Inc | Home Health | 699 Stratton St, Logan, WV 25601-4020 | 2005-10-06 |
| 1275899452 | Pride Community Services, Inc. | Case Management | 699 Stratton St, Logan, WV 25601-4020 | 2012-04-02 |
| 1922374883 | Pride Community Services, Inc. | Psychologist | 699 Stratton St, Logan, WV 25601-4020 | 2012-03-26 |
| 1922371400 | Pride Community Services, Inc. | Day Training, Developmentally Disabled Services | 699 Stratton St, Logan, WV 25601-4020 | 2012-02-15 |
| 1669664231 | P.r.i.d.e. Inc. | Preferred Provider Organization | 699 Stratton St, Logan, WV 25601-4020 | 2007-08-16 |
| 1104044510 | Pride In Logan County Inc. | Home Health | 699 Stratton St, Logan, WV 25601-4020 | 2007-04-23 |
| 1013135425 | Pride In Logan County Inc | Home Health | 699 Stratton St, Logan, WV 25601-4020 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842636 | Anna Inatte Tipton | In Home Supportive Care | 765 Glenwood Dr, Logan, OH 43138-1102 | 2020-02-11 |
| 1336508571 | Bwl Family Holdings, LLC. | In Home Supportive Care | 88 W Center St, Logan, UT 84321-4538 | 2016-02-16 |
| 1790395507 | Modern Care LLC | In Home Supportive Care | 860 S. Hwy 89/91, Logan, UT 84321-5919 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070595 | Interim Healthcare of Pittsburgh, Inc. | In Home Supportive Care | 1111 Van Voorhis Rd Ste 2, Morgantown, WV 26505-2737 | 2020-10-13 |
| 1780200683 | Hygeia, LLC | In Home Supportive Care | 76 16th St Ste 500, Wheeling, WV 26003-3611 | 2020-06-17 |
| 1548886443 | Maia, LLC | In Home Supportive Care | 90 Maccorkle Ave Sw Ste 202, South Charleston, WV 25303-1443 | 2020-06-17 |
| 1124673678 | Hiwv, LLC | In Home Supportive Care | 1288 Winchester Ave, Martinsburg, WV 25405-5019 | 2019-08-01 |
| 1871152793 | Senior Home Care, LLC | In Home Supportive Care | 6007 Us Route 60 E Ste 109, Barboursville, WV 25504-1045 | 2019-06-13 |
| 1417412354 | Peyatte Inc | In Home Supportive Care | 5324 Maccorkle Ave Se Ste 1, Charleston, WV 25304-2200 | 2019-02-05 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1699275719 | Katlynn Taylor Riffe | In Home Supportive Care | 1712 Jefferson St, Bluefield, WV 24701-4014 | 2018-02-15 |
| 1689118267 | Lrd Management Inc. | In Home Supportive Care | 335 4th Ave Ste 104, South Charleston, WV 25303-1268 | 2016-12-15 |
| 1336681709 | S Solutions & Co | In Home Supportive Care | 111 Brentwood Rd, Nitro, WV 25143-1168 | 2016-11-16 |
| 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.