SHELTERED WORKSHOP OF NICHOLAS COUNTY (NPI# 1346401734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346401734 |
| Entity Type | Organization |
| Organization Name | SHELTERED WORKSHOP OF NICHOLAS COUNTY |
| Practice Address |
16810 Webster Rd. Po Drawer 730 Craigsville WV 26205-0730 |
| Mailing Address |
Po Box 730 Craigsville WV 26205-0730 |
| Practice Telephone | 3047426202 |
| Practice Fax Number | 3047426280 |
| Mailing Telephone | 3047426202 |
| Mailing Fax Number | 3047426280 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. DUANE RAY BRAGG (DIRECTOR OF OPPERATIONS) |
| Authorized Official Telephone | 3047426202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 1036-8190 | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005379000 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHELTERED WORKSHOP OF NICHOLAS COUNTY INC., THE | 16810 Webster Rd, Craigsville, WV 26205 |
| Street Address |
16810 WEBSTER RD. PO DRAWER 730 |
| City | CRAIGSVILLE |
| State | WV |
| Zip Code | 26205-0730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424753 | Laura Lee Dennison | Technician | 616 E Webster Rd, Craigsville, WV 26205 | 2020-10-15 |
| 1356956734 | Beverly Taylor | Technician | 77 Elem. Lane, Craigsville, WV 26205 | 2020-09-11 |
| 1992316889 | Lloyd Mancel Dillon | Technician | 390 Emorald Rd, Craigsville, WV 26205 | 2020-08-13 |
| 1932576600 | Amanda Williams | Pharmacist | 18116 Webster Rd, Craigsville, WV 26205 | 2015-08-28 |
| 1033535158 | Mark Pugeda | Physical Therapist | 420 Craigsville Rd., Craigsville, WV 26205 | 2014-03-13 |
| 1487902045 | David Michael Mcquain | Pharmacist | 433 Craigsville Road, Suite 2, Craigsville, WV 26205 | 2012-08-29 |
| 1801187414 | Amanda S Carpenter | Pharmacist | 18102 Webster Rd., Craigsville, WV 26205 | 2011-04-29 |
| 1407146970 | Brandon Scott Keiper | Pharmacist | Route 20 and 55, Craigsville, WV 26205 | 2011-04-18 |
| 1194965376 | Meadow River Health Care Associates Inc | Pharmacy | 18077 Webster Rd., Craigsville, WV 26205 | 2009-02-27 |
| 1144466723 | Gauley River Pharmacy Inc | Pharmacy | 433 Craigsville Rd, Suite 2, Craigsville, WV 26205 | 2009-01-02 |
| Find all providers in zip 26205 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1003024522 | Harrison County Sheltered Workshop, Inc. | Day Training, Developmentally Disabled Services | 1430 Cost Ave, Stonewood, WV 26301-4879 | 2007-05-18 |
| Find all providers with the same taxonomy | ||||
| City | CRAIGSVILLE |
| Zip Code | 26205 |
Please comment or provide details below to improve the information on SHELTERED WORKSHOP OF NICHOLAS COUNTY.
| 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.