MULBERRY STREET MANAGEMENT (NPI# 1578969390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578969390 |
| Entity Type | Organization |
| Organization Name | MULBERRY STREET MANAGEMENT |
| Other Organization Name | COORDINATING COUNCIL FOR INDEPENDENT LIVING |
| Practice Address |
1097 Greenbag Rd Morgantown WV 26508-1532 |
| Practice Telephone | 3042919066 |
| Practice Fax Number | 3042912119 |
| Mailing Telephone | 3042919066 |
| Mailing Fax Number | 3042912119 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | MARY PLEVICH (CFO) |
| Authorized Official Telephone | 3042919066 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| COORDINATING COUNCIL FOR INDEPENDENT LIVING | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MULBERRY STREET MANAGEMENT SERVICES, INC. | 336 Mulberry Street, Morgantown, WV 26505 |
| Street Address |
1097 GREENBAG RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306944236 | Mulberry Street Management Services, Inc. | Home Health | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2006-09-21 |
| 1780292979 | Nichole Dawn Wills | Technician | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2020-07-14 |
| 1356607394 | West Virginia Choice | Home Health | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2012-04-04 |
| 1710243753 | Mulberry Street Management Services | Case Management | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2012-04-04 |
| 1700050861 | Mulberry Street Management Services, Inc | Home Health | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2008-04-18 |
| 1255523494 | Mulberry Street Management Services, Inc. | Case Management | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2007-08-13 |
| 1164614301 | Mulberry Street Management Services, Inc. | Community/Behavioral Health | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2007-08-13 |
| 1114118973 | Mulberry Street Management Services, Inc. | Case Management | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2007-08-07 |
| 1821206228 | West Virginia's Choice | Home Health | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356655138 | Morgantown Area Private Duty LLC | Case Management | 829 Fairmont Rd Ste 201, Morgantown, WV 26501-3892 | 2010-08-04 |
| 1427078856 | Companion Care Corporation | Case Management | 304 Willey St, Morgantown, WV 26505-5615 | 2006-07-20 |
| 1376947507 | Reliable Healthcare Solutions LLC | Case Management | 5000 Greenbag Rd, Suite F8, Morgantown, WV 26501-7163 | 2014-10-17 |
| 1710243753 | Mulberry Street Management Services | Case Management | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2012-04-04 |
| 1255523494 | Mulberry Street Management Services, Inc. | Case Management | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2007-08-13 |
| 1114118973 | Mulberry Street Management Services, Inc. | Case Management | 1097 Greenbag Rd, Morgantown, WV 26508-1532 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222570 | Hometown Care LLC | Case Management | 12 S. Crim Avenue, Belington, WV 26250 | 2019-12-12 |
| 1679116255 | Anthony Dewayne Allen | Case Management | 6200 Maccorkle Ave, Saint Albans, WV 25177-2331 | 2019-10-25 |
| 1568904829 | Nicholas Community Action Partnership, Inc | Case Management | 1205 Broad Street, Summersville, WV 26651 | 2016-11-17 |
| 1902276603 | Medical Matters LLC | Case Management | 968 Ritter Dr, Beaver, WV 25813-9554 | 2015-10-07 |
| 1508260647 | Coalfield Community Action Partnership, Inc. (cm) | Case Management | 1626 W 3rd Ave, Williamson, WV 25661-3007 | 2014-10-17 |
| 1750785275 | We Care Home Care Agency LLC | Case Management | 23 Middletown Rd, Fairmont, WV 26554-8103 | 2014-10-13 |
| 1851708382 | Essential Needs Homecare | Case Management | 2019 Pleasant Valley Rd., Fairmont, WV 26554-9295 | 2014-07-16 |
| 1417368101 | All-aid International, Inc. | Case Management | 612 Virginia St E, Suite 202, Charleston, WV 25301-2175 | 2014-05-15 |
| 1689091647 | Pendleton Senior & Family Services, Inc | Case Management | 231 Mill Rd., Franklin, WV 26807 | 2014-03-27 |
| 1902223126 | All Care Home and Community Services, Inc. | Case Management | Rt 10 Old Itmann Gradeschool, Itmann, WV 24847 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
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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.