JACOB'S LADDER AT BROOKSIDE FARM, LLC
NPI 1205344355
Clinic/Center - Rehabilitation, Substance Use Disorder in Aurora, WV
About Jacob's Ladder At Brookside Farm, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB'S LADDER AT BROOKSIDE FARM, LLC (NPI 1205344355) is a healthcare organization registered as a rehabilitation, substance use disorder in Aurora, West Virginia and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Kevin Blankenship, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 51D2145661
Jacob's Ladder At Brookside Farm, LLC · Aurora, WVOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacob's Ladder At Brookside Farm, LLC's NPI number?
The NPI number for Jacob's Ladder At Brookside Farm, LLC is 1205344355. It was assigned to this organization in the NPPES registry on January 10, 2018.
Where is Jacob's Ladder At Brookside Farm, LLC located?
Jacob's Ladder At Brookside Farm, LLC is located at 25208 George Washington Hwy, Aurora, WV 26705. The listed phone number is (304) 239-1214.
What is Jacob's Ladder At Brookside Farm, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Jacob's Ladder At Brookside Farm, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D2145661) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jacob's Ladder At Brookside Farm, LLC was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
