REM WV, INC. (NPI# 1053437657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053437657 |
Entity Type | Organization |
Organization Name | REM WV, INC. |
Practice Address |
843 Brookhaven Road Morgantown WV 26508 |
Mailing Address |
748 Mcmechen St Benwood WV 26031-1100 |
Practice Telephone | 3042926794 |
Practice Fax Number | 3042921260 |
Mailing Telephone | 3042332141 |
Mailing Fax Number | 3042333558 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2008-07-11 |
Authorized Official Name | MS. JANE KETCHAM (STATE DIRECTOR) |
Authorized Official Telephone | 3042332141 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | WV | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0003549000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609993930 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 147 Gc& P Rd, Wheeling, WV 26003 | 2007-03-23 |
1639295561 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 1040 White Ave, Morgantown, WV 26501-6268 | 2007-03-22 |
1831215615 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 1501 Flynn Ave, Wheeling, WV 26003-6383 | 2007-03-22 |
1740306547 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 170 Paducah Dr, New Martinsville, WV 26155-2710 | 2007-03-22 |
1306962030 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 904 Curtis Ave, Morgantown, WV 26501-7027 | 2007-03-22 |
1508982380 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 131 Rockdale Rd, Follansbee, WV 26037-1625 | 2007-03-22 |
1073639746 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 201 Woodcrest Rd, Follansbee, WV 26037-1637 | 2007-03-22 |
1205952017 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 115 Arlington Ave, Moundsville, WV 26041-1254 | 2007-03-22 |
Street Address |
843 BROOKHAVEN ROAD |
City | MORGANTOWN |
State | WV |
Zip Code | 26508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
Find all providers in zip 26508 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639295561 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 1040 White Ave, Morgantown, WV 26501-6268 | 2007-03-22 |
1306962030 | Rem Wv, Inc. | Intermediate Care Facility, Mentally Retarded | 904 Curtis Ave, Morgantown, WV 26501-7027 | 2007-03-22 |
1306895396 | Transitional Services, Inc | Intermediate Care Facility, Mentally Retarded | 369 W Washington St, Morgantown, IN 46160-9541 | 2006-05-08 |
1669631941 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 369 W Washington St, Morgantown, IN 46160-9541 | 2008-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225685498 | Ncgcare Acquisition, LLC | Intermediate Care Facility, Mentally Retarded | 203 Lower Overlook Dr, Hurricane, WV 25526-9025 | 2019-08-22 |
1881250827 | Diversified Assessment & Therapy Services | Intermediate Care Facility, Mentally Retarded | 2854 Haynie Rd, Huntington, WV 25704-9136 | 2019-05-15 |
1598163206 | The Arc of The Three Rivers, Inc. | Intermediate Care Facility, Mentally Retarded | 523 24th St, Dunbar, WV 25064-1605 | 2014-12-11 |
1790072122 | Voca Corporation of West Virginia, Inc. | Intermediate Care Facility, Mentally Retarded | 2164 Harmon School Rd, Princeton, WV 24740-8703 | 2011-07-06 |
1407164254 | Rscr West Virginia, Inc. | Intermediate Care Facility, Mentally Retarded | 847 Waites Run Rd, Wardensville, WV 26851 | 2010-09-15 |
1609018654 | Braley & Thompson | Intermediate Care Facility, Mentally Retarded | 1 Dunbar Plz # 100, Dunbar, WV 25064-3038 | 2009-04-06 |
1194975060 | Voca Corporation of West Virginia Inc | Intermediate Care Facility, Mentally Retarded | 7830 Ohio River Rd, Lesage, WV 25537 | 2008-09-26 |
1265680755 | Voca Corporation of West Virginia, Inc. | Intermediate Care Facility, Mentally Retarded | 1036 6th St W, Huntington, WV 25701-3023 | 2008-09-09 |
1992953483 | Voca Corporation of West Virginia, Inc. | Intermediate Care Facility, Mentally Retarded | 1941 Mcveigh Ave, Huntington, WV 25701-4219 | 2008-09-09 |
1770731226 | Voca Corporation of West Virginia, Inc. | Intermediate Care Facility, Mentally Retarded | 1319 Monroe Ave, Huntington, WV 25704-2439 | 2008-09-08 |
Find all providers with the same taxonomy |
City | MORGANTOWN |
Zip Code | 26508 |
Please comment or provide details below to improve the information on REM WV, INC..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.