Mountaineer Home Health, Llc in South Charleston - Home Health

Mountaineer Home Health, Llc - NPI 1629101910

Mountaineer Home Health, Llc is a Home Health in South Charleston, . Mountaineer Home Health, Llc practices all healthcare services and medical treatments related to Home Health. The NPI Number for Mountaineer Home Health, Llc is 1629101910. The last update date is 2020-08-22.

Mountaineer Home Health, Llc's current location address is 325 4th Ave, South Charleston, . You can contact this provider via phone number 3047200205 and fax number 3047200262. The mailing address for Mountaineer Home Health, Llc is 325 4th Ave, South Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Mountaineer Home Health, Llc
Address 325 4th Ave, South Charleston,
Phone Number 3047200205
Fax Number 3047200262
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Kelly B Lawrence
Credentials M.D.
Telephone Number 3047200205

NPI Number Detail

NPI Number 1629101910
Provider Enumeration Date 2007-03-14
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 325 4th Ave
City South Charleston
State (WV)
Post Code 253031266
Phone Number 3047200205
Fax Number 3047200262

Provider's Primary Taxonomy Detail

Speciality Home Health
Taxonomy 251E00000X
Licence No 2007-011,481
Definition:
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4241000 WV --

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FAQs about Mountaineer Home Health, Llc

What is the unique 10-digit identification code assigned to Mountaineer Home Health, Llc by the Centers for Medicare & Medicaid Services?

The Mountaineer Home Health, Llc has been issued the NPI (National Provider Identifier) 1629101910, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mountaineer Home Health, Llc's facilities are geographically located?

The facilities of Mountaineer Home Health, Llc are physically situated at the following location: 325 4Th Ave, South Charleston, WV, 253031266.

What is Mountaineer Home Health, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mountaineer Home Health, Llc is Home Health, and the taxonomy code that classifies this field of practice is 251E00000X.

On what date did the Mountaineer Home Health, Llc receive the assignment of its 1629101910 from the Centers for Medicare & Medicaid Services?

The Mountaineer Home Health, Llc was issued its 1629101910 by the Centers for Medicare & Medicaid Services on 2007-03-14.

When was the information pertaining to Mountaineer Home Health, Llc most recently updated or revised?

The details related to Mountaineer Home Health, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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