COMMISSION ON AGING FAMILY SERVICES NPI 1174721963

NPI Information

NPI: 1174721963
Provider Name: COMMISSION ON AGING FAMILY SERVICES
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
111 VIRGINIA AVE
PETERSBURG, WV
ZIP 26847
Phone: (304) 257-1666
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COMMISSION ON AGING FAMILY SERVICES is a hospice care community based in Petersburg, WV. COMMISSION ON AGING FAMILY SERVICES NPI is 1174721963. The provider is registered as an organization entity type.

The provider's business location address is:

111 VIRGINIA AVE
PETERSBURG, WV
ZIP 26847-713
Phone: (304) 257-1666
Fax: (304) 257-9145

The provider's authorized official is Darlene E Evans .
The authorized official title is Executive Director and has the following contact phone number (304) 257-1666.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 8/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253Z00000X	In Home Supportive Care				No
2	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0030591000	MEDICAID	WEST VIRGINIA
2	0030591001	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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