SYCAMORE RUN, LLC (NPI# 1073737706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073737706 |
| Entity Type | Organization |
| Organization Name | SYCAMORE RUN, LLC |
| Practice Address |
Rr 2 Box 215a Keyser WV 26726-9230 |
| Mailing Address |
Rr 2 Box 215a Keyser WV 26726 |
| Practice Telephone | 3042983262 |
| Practice Fax Number | 3042984100 |
| Mailing Telephone | 3042983262 |
| Mailing Fax Number | 3042984100 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BRENDA DIANE HARDEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3042983262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 145 | WV | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3500002000 | 05 |
| Street Address |
RR 2 BOX 215A |
| City | KEYSER |
| State | WV |
| Zip Code | 26726-9230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199937 | Susan Raye Thorne | Technician | 193 Primrose Dr, Keyser, WV 26726 | 2020-09-22 |
| 1982215141 | Rachael Yvonne Lewis | Technician | 30 Csx Ln, Keyser, WV 26726 | 2020-08-12 |
| 1942847975 | Recovery Care LLC | Family Medicine | 37 Carroll Avenue, Keyser, WV 26726 | 2019-12-10 |
| 1346713633 | Ruby Ann Olitan | Pharmacist | Rr 3 3186, Keyser, WV 26726 | 2019-01-09 |
| 1164915526 | Keyser Family Dentistry, Pllc | Dentist | 1035 Florida Ave., Keyser, WV 26726 | 2018-06-11 |
| 1093223075 | Leslie Bosley | Speech-Language Pathologist | Mineral County Board of Education, One Baker, Keyser, WV 26726 | 2018-01-12 |
| 1043737927 | Melissa Sue Hines | Social Worker | 539 New Creek Highway, Keyser, WV 26726 | 2017-08-23 |
| 1962928242 | Walgreen Co | Pharmacy | 839 S Mineral St, Keyser, WV 26726 | 2017-08-17 |
| 1386980704 | Heritage Hearing Aid Centers, LLC | Hearing Aid Equipment | Route 3 Box 3288, Keyser, WV 26726 | 2012-12-13 |
| 1659685246 | Suratkal V Shenoy Md PC | Surgery | Rt 220 South and Staggs Lane, Keyser, WV 26726 | 2010-08-06 |
| Find all providers in zip 26726 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602950 | True Choice Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 188 Taylor St, Ronceverte, WV 24970-1598 | 2019-10-29 |
| 1356825640 | Focused On You, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1709 Us Route 60 W, Milton, WV 25541-1133 | 2018-09-21 |
| 1891293056 | Linx Community Service, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1307 Williamstown Pike, Williamstown, WV 26187-8168 | 2018-01-23 |
| 1043417975 | Martinsburg Work Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24 Integrity Ter, Martinsburg, WV 25401-3524 | 2007-07-03 |
| 1316046956 | Horizons Center for Independent Living Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 934 Williams St, Parkersburg, WV 26101-4851 | 2006-09-21 |
| 1164606935 | Florence Crittenton Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2606 National Rd, Wheeling, WV 26003-5370 | 2007-12-28 |
| 1255548186 | Martin Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 521 Market St, Parkersburg, WV 26101-5150 | 2007-05-17 |
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| 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.