VOCA CORPORATION OF WEST VIRGINIA INC. NPI 1750615894

NPI Information

NPI: 1750615894
Provider Name: VOCA CORPORATION OF WEST VIRGINIA, INC.

Other Name: CLARKSBURG HOME CARE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1618 BUCKHANNON PIKE
NUTTER FORT, WV
ZIP 26301
Phone: (304) 326-0140
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VOCA CORPORATION OF WEST VIRGINIA, INC. is an intermediate care facility mentally retarded in Nutter Fort, WV. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. VOCA CORPORATION OF WEST VIRGINIA, INC. NPI is 1750615894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clarksburg Home Care.

The provider's business location address is:

1618 BUCKHANNON PIKE
NUTTER FORT, WV
ZIP 26301-465
Phone: (304) 326-0140

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 1/20/2010.

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	171M00000X	Case Manager/Care Coordinator			WEST VIRGINIA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities			WEST VIRGINIA	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	3810011259	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

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