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MOUNDSVILLE CENTER LLC NPI 1063906303


NPI Information

NPI: 1063906303
Provider Name: MOUNDSVILLE CENTER LLC

Doing Business As: STONERISE MOUNDSVILLE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
2200 FLORAL ST
MOUNDSVILLE, WV
ZIP 26041
Phone: (304) 843-1035
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MOUNDSVILLE CENTER LLC is a skilled nursing facility in Moundsville, WV. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. MOUNDSVILLE CENTER LLC NPI is 1063906303. The provider is registered as an organization entity type.
The provider Is Doing Business As Stonerise Moundsville.

The provider's business location address is:

2200 FLORAL ST
MOUNDSVILLE, WV
ZIP 26041-293
Phone: (304) 843-1035
Fax: (304) 843-1504

The provider's authorized official is Lawrence A Pack .
The authorized official title is Member and has the following contact phone number (304) 343-1950.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 5/18/2022.


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
1314000000XSkilled Nursing FacilityYes

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

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