HARRIS COMMUNITY CARE INC (NPI# 1942416979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942416979 |
| Entity Type | Organization |
| Organization Name | HARRIS COMMUNITY CARE INC |
| Practice Address |
709 W Burke St Martinsburg WV 25401-2709 |
| Practice Telephone | 3042637764 |
| Practice Fax Number | 3042637330 |
| Mailing Telephone | 3042637764 |
| Mailing Fax Number | 3042637330 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | HELEN HARRIS (PRESIDENT) |
| Authorized Official Telephone | 3042637764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0030906000 | 05 |
| Street Address |
709 W BURKE ST |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023917 | David Robert Hardy | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1528669470 | Stephen Hite | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1538760467 | Kaelie Davey | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1043811961 | Kimberly Rose | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1417558354 | Kaitlyn Utz | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-06 |
| 1164023198 | Jill Marie Spade | Case Manager/Care Coordinator | 709 W Burke St, Martinsburg, WV 25401-2709 | 2020-11-05 |
| 1073160701 | Abc Case Management,llc | Clinic/Center | 709 W Burke St, Martinsburg, WV 25401-2709 | 2019-08-19 |
| 1538409628 | Harris Community Care, Inc | Custodial Care Facility | 709 W Burke St, Martinsburg, WV 25401-2709 | 2013-02-26 |
| 1659611747 | Harris Community Care, Inc | Custodial Care Facility | 709 W Burke St, Martinsburg, WV 25401-2709 | 2013-02-26 |
| 1851530034 | Harris Community Care, Inc | Case Management | 709 W Burke St, Martinsburg, WV 25401-2709 | 2009-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336531003 | Tim Freeman | Custodial Care Facility | 3680 Duck Creek Rd, Lost Creek, WV 26385 | 2015-03-04 |
| 1821414319 | Wanda Lee | Custodial Care Facility | 303 Low Gap Rd, Princeton, WV 24740-2530 | 2014-03-09 |
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on HARRIS COMMUNITY CARE 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.