THE CHILDREN'S HOME SOCIETY OF WEST VIRGINIA, INC. (NPI# 1447622618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447622618 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HOME SOCIETY OF WEST VIRGINIA, INC. |
| Practice Address |
142 Cherry St Daniels WV 25832-9695 |
| Mailing Address |
1422 Kanawha Blvd E Charleston WV 25301-3002 |
| Practice Telephone | 3042550408 |
| Practice Fax Number | 3042523016 |
| Mailing Telephone | 3043460795 |
| Mailing Fax Number | 3043461062 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | MRS. KIMBERLY C. ARTHUR (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3043460795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 14GR28 | WV | Residential Treatment Facilities |
| Street Address |
142 CHERRY ST |
| City | DANIELS |
| State | WV |
| Zip Code | 25832-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757028 | Ashley Dawn Smith | Technician | 1197 C&o Dam Rd, Daniels, WV 25832 | 2020-10-15 |
| 1558974725 | Amber Burgess | Technician | 102 Wood Ave, Daniels, WV 25832 | 2020-08-27 |
| 1457716359 | Performance Physical Therapy and Rehabilitation | Clinic/Center | 1338 Ritter Dr., Daniels, WV 25832 | 2015-12-18 |
| 1982040846 | Kaitlyn Martha Brown | Physical Therapist | 1338 Ritter Drive, Daniels, WV 25832 | 2013-05-20 |
| 1952650343 | Linguacare Associates | Clinic/Center | 120 Hanworth Lane, Daniels, WV 25832 | 2012-08-31 |
| 1922169705 | Jarrells Pharmacy Inc | Pharmacy | 2122 Ritter Drive, Daniels, WV 25832 | 2006-12-13 |
| 1548328800 | Michael Merritt Kostenko | Family Medicine | 3050 C & O Dam Road, Daniels, WV 25832 | 2006-12-05 |
| 1386008522 | Cynthia Walker | Pharmacist | 2122 Ritter Dr, Jarrell's Pharmacy, Daniels, WV 25832 | 2016-04-13 |
| 1528599800 | Angela Dawn Harold | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-03-27 |
| 1922530427 | Chad Hinz | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-04-03 |
| Find all providers in zip 25832 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609383298 | Genesis Youth Crisis Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 Chestnut Street, Parsons, WV 26287 | 2018-01-04 |
| 1649664855 | Yale Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswinds Dr, Fairmont, WV 26554-9193 | 2015-03-25 |
| 1366846016 | Family Connections, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3305 Tent Church Road, Colliers, WV 26035 | 2014-10-09 |
| 1427470277 | Burlington United Methodist Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5162 Us 220 North, Moorefield, WV 26836 | 2014-01-14 |
| 1164776589 | Mike Allen Beswick | Residential Treatment Facility, Emotionally Disturbed Children | 34 Potomac Crossway, Lewisburg, WV 24901-8900 | 2012-11-07 |
| 1730320060 | Golden Girl, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 999 B Street, Ceredo, WV 25507-0876 | 2009-03-17 |
| 1295972248 | Yore Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7 Crosswind Drive, Fairmont, WV 26554 | 2009-01-13 |
| 1215199336 | Braley & Thompson, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12 Clotine St, Saint Albans, WV 25177-2509 | 2008-06-30 |
| 1366602039 | Board of Child Care, Wv | Residential Treatment Facility, Emotionally Disturbed Children | 715 Brown Rd, Martinsburg, WV 25404-7282 | 2008-06-16 |
| 1104086503 | Charles W. Cammack Children's Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 64 6th Ave W, Huntington, WV 25701-1751 | 2008-06-10 |
| 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.