CLARKSBURG CENTER LLC (NPI# 1386023398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386023398 |
| Entity Type | Organization |
| Organization Name | CLARKSBURG CENTER LLC |
| Practice Address |
100 Parkway Dr Clarksburg WV 26301-4357 |
| Mailing Address |
700 Chappell Rd Charleston WV 25304-2704 |
| Practice Telephone | 3046246401 |
| Practice Fax Number | 3046248026 |
| Mailing Telephone | 3043431950 |
| Mailing Fax Number | 3043431947 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | MR. STEVEN F WHITE (MANAGER) |
| Authorized Official Telephone | 3043431950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 79 | WV | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 79 | WV | Nursing & Custodial Care Facilities |
| Street Address |
100 PARKWAY DR |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905832 | Kerry Walter Bartlett | Physical Therapist | 100 Parkway Dr, Clarksburg, WV 26301-4357 | 2020-06-03 |
| 1043255433 | Heartland of Clarksburg Wv LLC | Skilled Nursing Facility | 100 Parkway Dr, Clarksburg, WV 26301-4357 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265598197 | Clarksburg Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 801 Davisson Run Road, Clarksburg, WV 26301 | 2006-12-28 |
| 1043255433 | Heartland of Clarksburg Wv LLC | Skilled Nursing Facility | 100 Parkway Dr, Clarksburg, WV 26301-4357 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785623 | Ewv Holdings, LLC | Skilled Nursing Facility | 495 Court St, Elizabeth, WV 26143 | 2020-03-19 |
| 1952814428 | Taylor Health Care Center, LLC | Skilled Nursing Facility | 2 Hospital Plaza, Grafton, WV 26354 | 2017-11-07 |
| 1881132389 | Greenbrier Health Care Center, LLC | Skilled Nursing Facility | 1115 Maplewood Ave, Lewisburg, WV 24901-9728 | 2017-02-03 |
| 1578983417 | Cabell Health Care Center, LLC | Skilled Nursing Facility | 240 Capitol St, Suite 500, Charleston, WV 25301-2221 | 2014-04-18 |
| 1023362183 | Genesis | Skilled Nursing Facility | 925 Park Dr, Dunbar, WV 25064-2624 | 2012-10-28 |
| 1033470786 | David Daryl Vaught | Skilled Nursing Facility | Rr 5 Box 108-c, Bridgeport, WV 26330 | 2012-05-30 |
| 1104117761 | Diversicare Rose Terrace, LLC | Skilled Nursing Facility | 30 Hidden Brook Way, Culloden, WV 25510 | 2011-04-29 |
| 1982918470 | Emericare Heritage LLC | Skilled Nursing Facility | Route 4, 17, Bridgeport, WV 26330-9804 | 2010-07-27 |
| 1053542555 | Arbors of Fairmont | Skilled Nursing Facility | 1700 Big Tree Dr Apt 79, Fairmont, WV 26554-8310 | 2009-07-31 |
| 1457535635 | Three Mile Curve Operations LLC | Skilled Nursing Facility | Three Mile Curve, Logan, WV 25600 | 2007-12-24 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.