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RESCARE WEST VIRGINIA INC NPI 1356406995


NPI Information

NPI: 1356406995
Provider Name: RESCARE WEST VIRGINIA, INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1200 3RD ST
MARTINSBURG, WV
ZIP 25401
Phone: (304) 263-4742
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RESCARE WEST VIRGINIA, INC is an intermediate care facility mentally retarded in Martinsburg, WV. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RESCARE WEST VIRGINIA, INC NPI is 1356406995. The provider is registered as an organization entity type.

The provider's business location address is:

1200 3RD ST
MARTINSBURG, WV
ZIP 25401-792
Phone: (304) 263-4742
Fax: (304) 596-2395

The provider's authorized official is Mark Landis .
The authorized official title is Executive Director and has the following contact phone number (540) 858-2572.

The enumeration date for this NPI number is 12/26/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities331WEST 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10003445000MEDICAIDWEST 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: 4/28/2024

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