PRIDE COMMUNITY SERVICES INC. NPI 1922374883

NPI Information

NPI: 1922374883
Provider Name: PRIDE COMMUNITY SERVICES, INC.
Classification: Technician - 3747A0650X
Specialization: Attendant Care Provider
Entity Type: Organization
Former Legal Business Name: PRIDE IN LOGAN COUNTY, INC.
Address: 699 STRATTON ST
LOGAN, WV
ZIP 25601
Phone: (304) 752-2686

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NPI Details

PRIDE COMMUNITY SERVICES, INC. is an attendant care provider technician in Logan, WV. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. PRIDE COMMUNITY SERVICES, INC. NPI is 1922374883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Pride In Logan County, Inc..

The provider's business location address is:

699 STRATTON ST
LOGAN, WV
ZIP 25601-020
Phone: (304) 752-2686
Fax: (304) 752-1047

The provider's authorized official is Reginald Jones .
The authorized official title is Executive Director and has the following contact phone number (304) 752-6868.

The enumeration date for this NPI number is 3/26/2012 and was last updated on 4/11/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling			No
2	3747A0650X	Technician	Attendant Care Provider			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	3810022733	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: 11/21/2025

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