MULBERRY STREET MANAGEMENT SERVICES, INC


Address: 1097 Greenbag Rd, Morgantown, WV 26508-1532
Phone: 3042919066

MULBERRY STREET MANAGEMENT SERVICES, INC (NPI# 1700050861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700050861
Entity Type Organization
Organization Name MULBERRY STREET MANAGEMENT SERVICES, INC
Other Organization Name COORDINATING COUNCIL FOR INDEPENDENT LIVING/WEST VIRGINIA SELECT
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 2008-04-18
Last Update Date 2008-04-20
Authorized Official Name MS. MARY PLEVICH (CFO)
Authorized Official Telephone 3042919066
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
COORDINATING COUNCIL FOR INDEPENDENT LIVING/WEST VIRGINIA SELECT Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Ohio Business Entities MULBERRY STREET MANAGEMENT SERVICES, INC. 336 Mulberry Street, Morgantown, WV 26505

Office Location

Street Address 1097 GREENBAG RD
City MORGANTOWN
State WV
Zip Code 26508-1532

Providers in the same location

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
1578969390 Mulberry Street Management Case Management 1097 Greenbag Rd, Morgantown, WV 26508-1532 2014-11-05
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
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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013452416 Morgantown Area Private Duty, LLC Home Health 1296 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 2016-12-21
1023380789 Visiting Homemaker Service of Monongalia County, Inc. Home Health 382 Broadway Ave, Morgantown, WV 26505-3193 2012-01-27
1487972725 L'hommedieu Physical Therapy Home Health 3207 Lemley St, Morgantown, WV 26508-9188 2010-05-11
1457560658 Senior Monongalians, Inc. Home Health 5000 Greenbag Rd Ste A5, Morgantown, WV 26501-7123 2007-05-22
1306944236 Mulberry Street Management Services, Inc. Home Health 1097 Greenbag Rd, Morgantown, WV 26508-1532 2006-09-21
1659310993 Tender Loving Care Health Care Services of West Virginia, LLC Home Health 246 Cheat Rd, Suite 2, Morgantown, WV 26508-4867 2006-06-05
1215976592 Tender Loving Care Health Care Services of West Virginia, LLC Home Health 5007 Mid Atlantic Dr, Morgantown, WV 26508-4298 2006-06-05
1780677203 Monongalia County Board of Health Home Health 453 Van Voorhis Rd, Morgantown, WV 26505-3408 2005-08-30
1225039076 Care Partners Inc Home Health 601 Hartman Run Rd, Morgantown, WV 26505 2005-08-02
1528503109 Wheeling Area Private Duty Home Health 1296 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 2017-01-05
Find all providers in MORGANTOWN

Competitor

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City MORGANTOWN
Zip Code 26508

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Dataset Information

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.

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