NCGCARE ACQUISITION, LLC (NPI# 1225685498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225685498 |
| Entity Type | Organization |
| Organization Name | NCGCARE ACQUISITION, LLC |
| Other Organization Name | STARLIGHT BEHAVIORAL HEALTH |
| Practice Address |
203 Lower Overlook Dr Hurricane WV 25526-9025 |
| Mailing Address |
5317 Cherry Lawn Rd Huntington WV 25705-2032 |
| Practice Telephone | 3043022078 |
| Practice Fax Number | 3043027260 |
| Mailing Telephone | 3043022078 |
| Mailing Fax Number | 3043027260 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | HANNAH CATHERINE MAYO (FINANCIAL ANALYST) |
| Authorized Official Telephone | 3042083715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Marshall House | Doing Business As Name - Organization |
| Starlight Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104348556 | Ncgcare Acquisition, LLC | Psychiatry & Neurology | 5317 Cherry Lawn Rd, Huntington, WV 25705-2032 | 2017-07-07 |
| Street Address |
203 LOWER OVERLOOK DR |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1851514889 | Northwood Health System | Intermediate Care Facility, Mentally Retarded | 26 Raven Ave, Wheeling, WV 26003-2640 | 2007-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NCGCARE ACQUISITION, LLC.
| 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.