CUSTOM HOME ELEVATOR OF W V (NPI# 1881140663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881140663 |
| Entity Type | Organization |
| Organization Name | CUSTOM HOME ELEVATOR OF W V |
| Practice Address |
100 Pioneer Street East Bank WV 25067-0483 |
| Mailing Address |
Po Box 483 East Bank WV 25067-0483 |
| Practice Telephone | 3045526578 |
| Practice Fax Number | 3045951234 |
| Mailing Telephone | 3045526578 |
| Mailing Fax Number | 3045951234 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | CHARLES A BLAIR (OWNER) |
| Authorized Official Telephone | 3045526578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
WV | Suppliers |
| Street Address |
100 PIONEER STREET |
| City | EAST BANK |
| State | WV |
| Zip Code | 25067-0483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225619 | Crystal Dawn Hughes | Technician | 112 Surface St, East Bank, WV 25067 | 2020-08-17 |
| 1821377292 | Cabin Creek Health Center, Inc. | Clinic/Center | 1st & Brannon Street, East Bank, WV 25067-9752 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225619 | Crystal Dawn Hughes | Technician | 112 Surface St, East Bank, WV 25067 | 2020-08-17 |
| 1821377292 | Cabin Creek Health Center, Inc. | Clinic/Center | 1st & Brannon Street, East Bank, WV 25067-9752 | 2011-08-16 |
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730442286 | Kenneth C. Barney Dds Inc | Durable Medical Equipment & Medical Supplies | 101 North Mary St., Hedgesville, WV 25427-6984 | 2012-06-20 |
| 1518253087 | Joseph A Bowers | Durable Medical Equipment & Medical Supplies | 176 Hack Wilson Way, Martinsburg, WV 25401-4384 | 2011-06-23 |
| 1124356373 | Handicap Home Access and Modifications | Durable Medical Equipment & Medical Supplies | 19 Richmond Ave, Wheeling, WV 26003-4586 | 2009-11-30 |
| 1629208111 | Orthopedic & Sports Physical Therapy Associates, Inc | Durable Medical Equipment & Medical Supplies | 3109 University Ave, Suite C, Sellaro Plaza, Morgantown, WV 26505-3205 | 2009-07-20 |
| 1063612034 | Surf City Pools & Spas | Durable Medical Equipment & Medical Supplies | 10505 Maccorkle Ave, Marmet, WV 25315-1967 | 2007-07-18 |
| 1609926716 | Bowers Mobility Sales & Repair | Durable Medical Equipment & Medical Supplies | 1512 Winchester Ave, Martinsburg, WV 25401-5025 | 2007-01-11 |
| 1508934282 | Home Care Medical Equipment | Durable Medical Equipment & Medical Supplies | 313 9th St, Huntington, WV 25701-1416 | 2006-12-01 |
| 1699843375 | Home Care Medical Equipment | Durable Medical Equipment & Medical Supplies | Third and Viand Street, Point Pleasant, WV 25550 | 2006-12-01 |
| 1851467906 | Home Care Medical Equipment | Durable Medical Equipment & Medical Supplies | 6609 Maccorkle Ave Se, Charleston, WV 25304-2923 | 2006-11-28 |
| 1336226232 | Mountaineer Low Air Loss Mattress & Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 69 Walnut St, Suite A, Shinnston, WV 26431-1139 | 2006-11-01 |
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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.