MAIN STREET HINTON NPI 1730439860

NPI Details

MAIN STREET HINTON is a nursing facility intermediate care facility in Hinton, WV. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. MAIN STREET HINTON NPI is 1730439860. The provider is registered as an organization entity type.
The provider Is Doing Business As Main Street Care.

The provider's business location address is:

1500 TERRACE ST
SUITE 300
HINTON, WV
ZIP 25951-768
Phone: (304) 466-6090

The provider's authorized official is Mary Lou Haley .
The authorized official title is Board President and has the following contact phone number (304) 466-5332.

The CLIA number assigned to this NPI record is 51D2053418 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 9/17/2012.

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: