E & A PEDIATRIC HOME HEALTH SERVICES (NPI# 1720687478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720687478 |
| Entity Type | Organization |
| Organization Name | E & A PEDIATRIC HOME HEALTH SERVICES |
| Practice Address |
207 W. Washington Street Charles Town WV 25414 |
| Mailing Address |
658 Chapelgate Dr Odenton Odenton MD 21113 |
| Practice Telephone | 3047242135 |
| Practice Fax Number | 3047280839 |
| Mailing Telephone | 3018062953 |
| Mailing Fax Number | 3047280839 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | ANASTASIE MBONO (CEO/CFO) |
| Authorized Official Telephone | 3018062953 |
| Authorized Official Credential | LICENSED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Jefferson Nursing Svces | Doing Business As Name - Organization |
| Street Address |
207 W. WASHINGTON STREET |
| City | CHARLES TOWN |
| State | WV |
| Zip Code | 25414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013435668 | Ashley Wertman | Physical Therapist | 46 Trifecta Place Ste 104, Charlestown, WV 25414 | 2017-09-05 |
| 1053763532 | Lisa Craft | Social Worker | 138 Wall Street, Charles Town, WV 25414 | 2016-07-07 |
| 1053782227 | Charles William Fellers Jr. | Physical Therapy Assistant | 50 Mulberry St, Charles Town, WV 25414 | 2015-10-14 |
| 1881015055 | Sara Fragale | Student in an Organized Health Care Education/Training Program | 100 Mordington Avenue, Charles Town, WV 25414 | 2013-12-13 |
| 1548519879 | Priyankar Sharma | Family Medicine | University Urgent Care, 912 Somerset Blvd., Suitre 102, Charles Town, WV 25414 | 2012-08-31 |
| 1528316957 | Citizens Fire Company | Ambulance | 245 Citizens Way, Charles Town, WV 25414 | 2012-08-15 |
| 1609101682 | Wendy K Joseph | Speech-Language Pathologist | 109 South College Street, Resa Viii, Martinsburg, WV 25414 | 2009-10-09 |
| 1457595738 | Brittany C Lamb | Speech-Language Pathologist | 50 Mulberry St., Charles Town, WV 25414 | 2009-04-30 |
| 1578703138 | Allison E Miller | Speech-Language Pathologist | 110 Ashby Street, Jefferson County Board of Education, Charles Town, WV 25414 | 2009-02-23 |
| 1174785257 | Snow Speech Language Pathology and Rehab Unlimited LLC | Speech-Language Pathologist | 113 W Liberty St, Suite 205, Charles Town, WV 25414 | 2008-06-30 |
| Find all providers in zip 25414 | ||||
| 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 |
|---|---|---|---|---|
| 1750982997 | Wvuhs Home Care, LLC | Home Health | 64 State St, Gassaway, WV 26624-1132 | 2020-11-04 |
| 1982205100 | Wvuhs Home Care, LLC | Home Health | 130 E Burr Blvd Fl 1, Kearneysville, WV 25430-4788 | 2020-11-04 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1750998159 | Kenneth James Epperly | Home Health | 708 Central Ave, Barboursville, WV 25504-1304 | 2020-09-29 |
| 1386250322 | Stephanie Mason | Home Health | 1211 Beechview Rd, Mount Hope, WV 25880-8947 | 2020-09-16 |
| 1801412648 | Personal Touch Home Care of W.va., Inc. | Home Health | 155 N Queen St, Martinsburg, WV 25401-3311 | 2020-06-17 |
| 1790300739 | Personal Touch Home Care of W. Va, Inc. | Home Health | 829 Fairmont Rd., Suite 104, Westover, WV 26501-3892 | 2020-06-16 |
| 1437770617 | Hussein Ali Elmi | Home Health | 602 Tennessee Ave Ste 702-704, Charleston, WV 25302-2328 | 2020-04-29 |
| 1023638061 | Gateway Home Care, LLC | Home Health | 2673 Davisson Run Rd, Clarksburg, WV 26301-6838 | 2020-04-20 |
| 1578195145 | United Hospital Center, Inc. | Home Health | 69 Maze Plaza, Elizabeth, WV 26143 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES TOWN |
| Zip Code | 25414 |
Please comment or provide details below to improve the information on E & A PEDIATRIC HOME HEALTH SERVICES.
| 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.