BEVERLY ENTERPRISES - WEST VIRGINIA, INC. (NPI# 1417028473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417028473 |
| Entity Type | Organization |
| Organization Name | BEVERLY ENTERPRISES - WEST VIRGINIA, INC. |
| Other Organization Name | GOLDEN LIVINGCENTER - RIVERSIDE |
| Practice Address |
6500 Maccorkle Ave Saint Albans WV 25177-2326 |
| Practice Telephone | 3047680002 |
| Mailing Telephone | 3047680002 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | HOLLY A RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | Y |
| Parent Organization Name | GGNSC GLASGOW LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 46 | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0004158000 | 05 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Riverside | Doing Business As Name - Organization |
| Street Address |
6500 MACCORKLE AVE |
| City | SAINT ALBANS |
| State | WV |
| Zip Code | 25177-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182057 | Crystal Dawn Lusk | Physical Therapist | 6500 Maccorkle Ave, Saint Albans, WV 25177-2326 | 2019-09-05 |
| 1619526415 | Timothy Smith | Occupational Therapy Assistant | 6500 Maccorkle Ave, Saint Albans, WV 25177-2326 | 2019-09-05 |
| 1467998138 | St Albans Operating Company LLC | Skilled Nursing Facility | 6500 Maccorkle Ave, Saint Albans, WV 25177-2326 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
| 1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
| 1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
| 1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
| 1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
| 1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
| 1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
| 1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
| 1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
| 1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
| Find all providers in zip 25177 | ||||
| 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 |
|---|---|---|---|---|
| 1598153322 | Cck Holdings, LLC | Skilled Nursing Facility | 7 Forest Hill Dr, Saint Albans, VT 05478-1615 | 2015-01-01 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1083601975 | Franklin County Rehab Center, LLC | Skilled Nursing Facility | 110 Fairfax Rd, Saint Albans, VT 05478-6299 | 2005-10-05 |
| 1467998138 | St Albans Operating Company LLC | Skilled Nursing Facility | 6500 Maccorkle Ave, Saint Albans, WV 25177-2326 | 2017-01-18 |
| 1235680133 | Villa Rehab Center | Skilled Nursing Facility | 7 Forest Hill Dr, Saint Albans, VT 05478-1615 | 2016-10-17 |
| 1144512625 | Complete Home Care Services | Skilled Nursing Facility | 20514 Linden Blvd Ste 204, Saint Albans, NY 11412-2934 | 2011-05-03 |
| 1982909917 | Cpl Premier Therapy LLC | Skilled Nursing Facility | 110 Fairfax Rd, Saint Albans, VT 05478-6299 | 2011-01-23 |
| 1891946372 | Five Ninety Six Sheldon Road Operations LLC | Skilled Nursing Facility | 596 Sheldon Rd, Saint Albans, VT 05478-8011 | 2008-10-02 |
| 1710149083 | Tc Healthcare I, LLC | Skilled Nursing Facility | 596 Sheldon Rd, Saint Albans, VT 05478-8011 | 2008-06-27 |
| 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 | SAINT ALBANS |
| Zip Code | 25177 |
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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.