ST. JOHN'S HOME FOR CHILDREN (ST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC) NPI 1003009747

Voluntary or Charitable in Wheeling, WV

NPI 1003009747 Organization Voluntary or Charitable

About ST. JOHN'S HOME FOR CHILDREN (ST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC)

St. John's Home For Children (st. John's/st. Vincent's Home For Children, Inc) is a provider established in Wheeling, West Virginia specializing in voluntary or charitable. The NPI number of St. John's Home For Children (st. John's/st. Vincent's Home For Children, Inc) is 1003009747 and was assigned on August 2007. The practitioner's primary taxonomy code is 251V00000X with license number 238 (WV). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as St. John's Home For Children. The authorized official of this NPI record is Mr. Terence A. Mccormick Msw, Acsw (Executive Director)

NPI

1003009747

Provider NameST. JOHN'S HOME FOR CHILDREN (ST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC)
Provider Location Address141 KEY AVE WHEELING, WV 26003
Provider Mailing Address141 KEY AVE WHEELING, WV 26003
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameST. JOHN'S HOME FOR CHILDREN
Other Name TypeDoing Business As (3)
Enumeration Date08-27-2007
Last Update Date08-27-2007


Primary Taxonomy

Taxonomy Code251V00000X
ClassificationVoluntary or Charitable
TypeAgencies
License No.238
License StateWV

Business Address

ST. JOHN'S HOME FOR CHILDREN
141 KEY AVE
WHEELING, WV
ZIP 26003
Phone: (304) 242-5633
Fax: (304) 243-4911

Get Directions


Mailing Address

ST. JOHN'S HOME FOR CHILDREN
141 KEY AVE
WHEELING, WV
ZIP 26003
Phone: (304) 242-5633
Fax: (304) 243-4911



Authorized Official

Authorized Official NameMR. TERENCE A. MCCORMICK MSW, ACSW
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(304) 242-5633

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0023582001MEDICAID (05)WV

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639369382ST. JOHN'S/ST. VINCENTS'S HOME FOR CHILDREN, INC.
Organization
Voluntary or Charitable141 KEY AVE
WHEELING, WV 26003
(304) 242-5633
1255974416 JASON MELEGARI RN
Individual
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)141 KEY AVE
WHEELING, WV 26003
(304) 242-5642
1386720167ST. JOHN'S/ST.VINCENT'S HOME FOR CHILDREN, INC.
Organization
Voluntary or Charitable141 KEY AVE
WHEELING, WV 26003
(304) 242-5633

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.