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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| COORDINATING COUNCIL FOR INDEPENDENT LIVING/WEST VIRGINIA SELECT | 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 |
| 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 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| 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 | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on MULBERRY STREET MANAGEMENT SERVICES, INC.
| 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.