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REM WEST VIRGINIA, LLC
NPI 1053289694
Intermediate Care Facility, Intellectual Disabilities in Petersburg, WV

Active since October 27, 2025
26 DAVIS ST, PETERSBURG, WV 26847(304) 257-4474 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rem West Virginia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REM WEST VIRGINIA, LLC (NPI 1053289694) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Petersburg, West Virginia and active in the NPI registry since October 2025. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1053289694
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameREM WEST VIRGINIA, LLC
Location Address26 DAVIS STPetersburg, WV 26847-1535
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150
Phone(304) 257-4474
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 26, 2025
✔ NPI 1053289694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

26 DAVIS ST, Petersburg, WV 26847
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RSCR WEST VIRGINIA, INC
Intermediate Care Facility, Intellectual Disabilities
26 DAVIS ST
PETERSBURG, WV 26847
Grant County (304) 257-4474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rem West Virginia, LLC's NPI number?

The NPI number for Rem West Virginia, LLC is 1053289694. It was assigned to this organization in the NPPES registry on October 27, 2025.

Where is Rem West Virginia, LLC located?

Rem West Virginia, LLC is located at 26 Davis St, Petersburg, WV 26847. The listed phone number is (304) 257-4474.

What is Rem West Virginia, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Rem West Virginia, LLC was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.