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

Voluntary or Charitable in Wheeling, WV

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

St. John's/st. Vincent's Home For Children, Inc is a provider in Wheeling, WV. The NPI number assigned to this provider is 1003009747. The practitioner's primary taxonomy code is Voluntary or Charitable (251V00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as St. John's Home For Children.

NPI1003009747 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC
Provider Location Address141 KEY AVE WHEELING, WV 26003 Additional informationCallout TooltipProvider 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 Address141 KEY AVE WHEELING, WV 26003 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Other Organization NameST. JOHN'S HOME FOR CHILDREN Additional informationCallout TooltipProvider other organization name
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. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-27-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-27-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

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

Mailing Address

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

Primary Taxonomy

Taxonomy Code251V00000X Additional informationCallout TooltipPrimary 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.
ClassificationVoluntary or Charitable
TypeAgencies
License No.238
License StateWV

Authorized Official

Authorized Official NameMR. TERENCE A. MCCORMICK MSW, ACSW Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
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

Map Location


ST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC address is 141 KEY AVE WHEELING, WV 26003

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386720167ST. JOHN'S/ST.VINCENT'S HOME FOR CHILDREN, INC.
Organization
Voluntary or Charitable141 KEY AVE
WHEELING, WV 26003
(304) 242-5633
1639369382ST. JOHN'S/ST. VINCENTS'S HOME FOR CHILDREN, INC.
Organization
Voluntary or Charitable141 KEY AVE
WHEELING, WV 26003
(304) 242-5633