Provider Type Icon

MULLENS MANOR INC NPI 1063562288


NPI Information

NPI: 1063562288
Provider Name: MULLENS MANOR, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 51D1041260

Address:
1238A GUYANDOTTE AVE
MULLENS, WV
ZIP 25882
Phone: (304) 294-7587
Get Directions

MULLENS MANOR, INC is an assisted living facility in Mullens, WV. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MULLENS MANOR, INC NPI is 1063562288. The provider is registered as an organization entity type.

The provider's business location address is:

1238A GUYANDOTTE AVE
MULLENS, WV
ZIP 25882-014
Phone: (304) 294-7587
Fax: (304) 294-7597

The provider's authorized official is Rebecca Jean Lovejoy .
The authorized official title is Administrator and has the following contact phone number (304) 294-7587.

The CLIA number assigned to this NPI record is 51D1041260 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.


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
1310400000XAssisted Living Facility506120WEST VIRGINIAYes

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
1506120OTHERWEST VIRGINIAASSISTED LIVING

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.