SYCAMORE RUN, LLC
NPI 1073737706
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Keyser, WV

Active since April 12, 2007
RR 2 BOX 215A, KEYSER, WV 26726(304) 298-3262(304) 298-4100 Get Directions Write a Review

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

About Sycamore Run, Llc NPPES

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

SYCAMORE RUN, LLC (NPI 1073737706) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Keyser, West Virginia and active in the NPI registry since April 2007. The organization lists Brenda Diane Harden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073737706
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSYCAMORE RUN, LLC
Location AddressRR 2 BOX 215AKeyser, WV 26726-9230
Mailing AddressRr 2 Box 215aKeyser, WV 26726 · (304) 298-3262 · Fax (304) 298-4100
Fax(304) 298-4100
Organization SubpartNo
Authorized OfficialBrenda Diane HardenExecutive Director · (304) 298-3262
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1073737706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in WV · 145
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
RR 2 BOX 215A, Keyser, WV 26726

Other Identifiers 1

Medicaid3500002000WV

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 Sycamore Run, LLC's NPI number?

The NPI number for Sycamore Run, LLC is 1073737706. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Sycamore Run, LLC located?

Sycamore Run, LLC is located at Rr 2 Box 215A, Keyser, WV 26726. The listed phone number is (304) 298-3262.

What is Sycamore Run, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Sycamore Run, LLC 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.