KANAWHA HOME HEALTH, INC. (NPI# 1679784656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679784656 |
| Entity Type | Organization |
| Organization Name | KANAWHA HOME HEALTH, INC. |
| Practice Address |
3324 Pennsylvania Ave Charleston WV 25302-4656 |
| Mailing Address |
Po Box 11051 Charleston WV 25339-1051 |
| Practice Telephone | 3047669669 |
| Mailing Telephone | 3047669669 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | MS. BARBARA MOSLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 3047669669 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 046268 | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0030875000 | 05 |
| Street Address |
3324 PENNSYLVANIA AVE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758539 | Rebecca Depta | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-10-20 |
| 1346849445 | Amanda Thomas | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-10-20 |
| 1578162772 | Tana Compton | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-10-20 |
| 1295334399 | Brooke Rhodes | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-10-20 |
| 1811594401 | Claudia Maynard | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-10-06 |
| 1386251973 | Eula Faye Smith | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-09-28 |
| 1851906317 | Vicki Stout | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-09-11 |
| 1184238107 | John Fields | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-09-08 |
| 1265046288 | Casey Erwin | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-09-08 |
| 1811501836 | Brittany Nicole Ray | Technician | 3324 Pennsylvania Ave, Charleston, WV 25302 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437770617 | Hussein Ali Elmi | Home Health | 602 Tennessee Ave Ste 702-704, Charleston, WV 25302-2328 | 2020-04-29 |
| 1427682392 | Christine Washington | Home Health | 822 Corral Dr, Charleston, SC 29414-5117 | 2020-02-28 |
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1033774427 | Lagom Living, Inc | Home Health | 1064 Gardner Rd Ste 310, Charleston, SC 29407-5746 | 2019-05-01 |
| 1538626452 | Eagle Home Healthcare LLC | Home Health | 717 Lee St E, Charleston, WV 25301-1734 | 2019-02-27 |
| 1831668078 | Home Care Assistance of Charleston | Home Health | 1662 Savannah Hwy Ste 225, Charleston, SC 29407-2235 | 2018-11-16 |
| 1811422918 | Luvly Angels LLC | Home Health | 1527 Sam Rittenberg Blvd, Suite 202b, Charleston, SC 29407-4190 | 2017-04-26 |
| 1902252679 | Shauna Noelcke, LLC | Home Health | 45 Sycamore Ave Apt 1112, Charleston, SC 29407-6732 | 2016-05-11 |
| 1144675901 | Lowcountry Therapeutic | Home Health | 1622 Wrecklers Race Ln, Charleston, SC 29414-7920 | 2016-04-29 |
| 1578964474 | Resilience Home Care Services, LLC | Home Health | 3700 Washington St W, Charleston, WV 25387-1121 | 2014-09-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
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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.