SUMMIT BHC WEST VIRGINIA LLC (NPI# 1598389405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598389405 |
| Entity Type | Organization |
| Organization Name | SUMMIT BHC WEST VIRGINIA LLC |
| Other Organization Name | HIGHLAND RESIDENTIAL |
| Practice Address |
300 56th St Se Charleston WV 25304-2308 |
| Mailing Address |
389 Nichol Mill Ln Ste 100 Franklin TN 37067-4887 |
| Practice Telephone | 3049261000 |
| Mailing Telephone | 8774633553 |
| Mailing Fax Number | 6154353725 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | MS. CHRISTY KELTNER (DIRECTOR OF CBO OPERATIONS) |
| Authorized Official Telephone | 6157164923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Highland Residential | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188322 | Summit Bhc West Virginia LLC | Rehabilitation, Substance Use Disorder Unit | 300 56th St Se, Charleston, WV 25304-2308 | 2020-06-08 |
| 1427672336 | Summit Bhc West Virginia LLC | Psychiatric Hospital | 300 56th St Se, Charleston, WV 25304-2308 | 2020-06-05 |
| Street Address |
300 56TH ST SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497706659 | Highland Hospital Association | Psychiatric Hospital | 300 56th St Se, Charleston, WV 25304-2308 | 2006-05-13 |
| 1801411905 | Summit Bhc West Virginia, LLC | Psychiatry & Neurology | 300 56th St Se, Charleston, WV 25304-2308 | 2020-06-15 |
| 1578188322 | Summit Bhc West Virginia LLC | Rehabilitation, Substance Use Disorder Unit | 300 56th St Se, Charleston, WV 25304-2308 | 2020-06-08 |
| 1427672336 | Summit Bhc West Virginia LLC | Psychiatric Hospital | 300 56th St Se, Charleston, WV 25304-2308 | 2020-06-05 |
| 1093234932 | Mbh Health Center, LLC | Community/Behavioral Health | 300 56th St Se, Charleston, WV 25304-2308 | 2017-09-12 |
| 1720506173 | Mbh Highland, LLC | Psychiatry & Neurology | 300 56th St Se, Charleston, WV 25304-2308 | 2017-09-06 |
| 1114445004 | Mbh Highland, LLC | Psychiatric Residential Treatment Facility | 300 56th St Se, Charleston, WV 25304-2308 | 2017-08-31 |
| 1164940151 | Mbh Highland, LLC | Psychiatric Hospital | 300 56th St Se, Charleston, WV 25304-2308 | 2017-08-30 |
| 1891152674 | Highland Hospital Association | Psychiatric Residential Treatment Facility | 300 56th St Se, Charleston, WV 25304-2308 | 2016-01-25 |
| 1376760686 | Highland Health Center, Inc. | Community/Behavioral Health | 300 56th St Se, Charleston, WV 25304-2308 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114445004 | Mbh Highland, LLC | Psychiatric Residential Treatment Facility | 300 56th St Se, Charleston, WV 25304-2308 | 2017-08-31 |
| 1891152674 | Highland Hospital Association | Psychiatric Residential Treatment Facility | 300 56th St Se, Charleston, WV 25304-2308 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750424909 | Solacium Allredge Academy | Psychiatric Residential Treatment Facility | Route 32, William Avenue, Davis, WV 26260 | 2007-02-15 |
| 1538462734 | Louis A. Johnson Va Medical Center | Psychiatric Residential Treatment Facility | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2010-12-09 |
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on SUMMIT BHC WEST VIRGINIA LLC.
| 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.