MOUNTAIN STATE HOME HEALTH CARE, INC. (NPI# 1770682700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770682700 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN STATE HOME HEALTH CARE, INC. |
| Practice Address |
254 George St Beckley WV 25801-2641 |
| Practice Telephone | 3042568201 |
| Practice Fax Number | 3042568204 |
| Mailing Telephone | 3042568201 |
| Mailing Fax Number | 3042568204 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VALARIE L PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 3042568201 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | ========= | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0031273000 | 05 | |
| WV | RIGHT FROM THE START | 5210007000 | 01 |
| Street Address |
254 GEORGE ST |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699075 | Jonathan Phillips | Technician | 254 George St, Beckley, WV 25801-2641 | 2020-11-04 |
| 1235336298 | Mountain State Home Health Care Inc | Nursing Care | 254 George St, Beckley, WV 25801-2641 | 2007-07-02 |
| 1821295643 | Americare Management Services | Case Management | 254 George St, Beckley, WV 25801-2641 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| 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 |
|---|---|---|---|---|
| 1073996989 | Caring Companions of Southern West Virginia | Home Health | 108 Honeysuckle Ln, Beckley, WV 25801-9570 | 2015-07-09 |
| 1144632811 | Apex Care Residential Services LLC | Home Health | 120 Chloe St, Beckley, WV 25801-3591 | 2014-05-28 |
| 1427240183 | Amedisys West Virginia, L.L.C. | Home Health | 108 Sunset Dr, Beckley, WV 25801-2824 | 2007-08-15 |
| 1619185147 | Raleigh County Commission On Aging, Inc. | Home Health | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2007-05-18 |
| 1902029515 | Elite Health Care, Inc. | Home Health | 1832 Harper Rd, Beckley, WV 25801-3366 | 2007-04-11 |
| 1265461545 | Gentiva Certified Healthcare Corp. | Home Health | 112 Mellon St, Beckley, WV 25801-3536 | 2006-06-30 |
| 1326013210 | Integricare, Inc | Home Health | 145 George St, Beckley, WV 25801-2607 | 2006-02-22 |
| 1770971004 | Princeton Community Homecare, LLC | Home Health | 314 George St, Suite 314, Beckley, WV 25801-2653 | 2015-01-09 |
| 1104037019 | Raleigh County Commission On Aging, Inc. | Home Health | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2007-05-24 |
| 1083825038 | Raleigh County Commission On Aging, Inc. | Home Health | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2007-05-24 |
| Find all providers in BECKLEY | ||||
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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.