2720 CHARLES TOWN ROAD OPERATIONS LLC
NPI 1053595355
Skilled Nursing Facility in Martinsburg, WV

NPI Status: Active since December 21, 2007

Contact Information

2720 CHARLES TOWN RD
MARTINSBURG, WV
ZIP 25405
Phone: (304) 263-0933
Fax: (304) 264-0794

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 51D0234536
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About 2720 CHARLES TOWN ROAD OPERATIONS LLC

This page provides the complete NPI Profile along with additional information for 2720 Charles Town Road Operations Llc, a provider established in Martinsburg, West Virginia operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1053595355 assigned on December 2007. The practitioner's primary taxonomy code is 314000000X with license number 177 (WV). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Michael T Berg (Secretary)

NPI
1053595355
Provider Legal Name
2720 CHARLES TOWN ROAD OPERATIONS LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2720 CHARLES TOWN RD MARTINSBURG, WV 25405
Location Phone
(304) 263-0933
Location Fax
(304) 264-0794
Mailing Address
101 E STATE ST KENNETT SQUARE, PA 19348
Mailing Phone
(610) 925-4436
Mailing Fax
(304) 264-0794
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2007
Last Update Date
03-21-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
177
License State
WV
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
  • my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 9200 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Premier Silver 0 - PPO
  • my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 2000 - PPO
  • my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Silver 6000 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL T BERG

Authorized Official Title
SECRETARY
Authorized Official Phone
(610) 444-6350

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0150756000MEDICAID (05)WV 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D0234536
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
ZENY ROSE MANONGDO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to 2720 Charles Town Road Operations Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053595355, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 9 + 1 + 0 + 3 + 1 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053595355.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Occupational Therapist
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Occupational Therapy Assistant
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Speech-Language Pathologist
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Physical Therapy Assistant
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Occupational Therapy Assistant
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Occupational Therapy Assistant
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Speech-Language Pathologist
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Physical Therapy Assistant
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Physical Therapist
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Occupational Therapy Assistant
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Speech-Language Pathologist
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405
Student in an Organized Health Care Education/Training Program
2720 CHARLES TOWN RD
MARTINSBURG, WV 25405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053595355, enumerated as an "organization" on December 21, 2007.

The provider is located at 2720 CHARLES TOWN RD MARTINSBURG, WV 25405 and the phone number is (304) 263-0933.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.