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MULLENS MANOR, INC
NPI 1063562288
Assisted Living Facility in Mullens, WV

Active since January 11, 2007CLIA 51D1041260 · Waiver
1238A GUYANDOTTE AVE, MULLENS, WV 25882(304) 294-7587(304) 294-7597 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mullens Manor, Inc NPPES

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

MULLENS MANOR, INC (NPI 1063562288) is a healthcare organization registered as an assisted living facility in Mullens, West Virginia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Rebecca Jean Lovejoy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063562288
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMULLENS MANOR, INC
Location Address1238A GUYANDOTTE AVEMullens, WV 25882-1014
Mailing AddressPo Box 1964Pineville, WV 24874-1964 · (304) 294-7587 · Fax (304) 294-7597
Phone(304) 294-7587
Fax(304) 294-7597
Organization SubpartNo
Authorized OfficialRebecca Jean LovejoyAdministrator · (304) 294-7587
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063562288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in WV · 506120
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1238A GUYANDOTTE AVE, Mullens, WV 25882
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Other Identifiers 1

Other506120WV · Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1041260

Mullens Manor Inc · Mullens, WV
Active · expires May 26, 2027
CLIA Number51D1041260
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorRebecca J. Lovejoy
Laboratory Phone(304) 732-8502
Laboratory LocationMullens Manor Inc1238 A Guyandotte Avenue, Mullens, WV 25882
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mullens Manor, Inc's NPI number?

The NPI number for Mullens Manor, Inc is 1063562288. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Mullens Manor, Inc located?

Mullens Manor, Inc is located at 1238A Guyandotte Ave, Mullens, WV 25882. The listed phone number is (304) 294-7587.

What is Mullens Manor, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mullens Manor, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1041260) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mullens Manor, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.