PRIMARY CARE AT HOME OF CHARLESTON
NPI 1386163392
Nurse Practitioner in Charleston, WV

Active since September 12, 2017
414 GREENWAY AVE STE 201, CHARLESTON, WV 25309(304) 356-1356(304) 885-7475 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care At Home Of Charleston NPPES

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

PRIMARY CARE AT HOME OF CHARLESTON (NPI 1386163392) is a healthcare organization registered as a nurse practitioner in Charleston, West Virginia and active in the NPI registry since September 2017. The organization lists Donald D. Stelly, President, as its authorized official.

NPPES Registry Identity

NPI1386163392
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePRIMARY CARE AT HOME OF WEST VIRGINIA, LLC
Location Address414 GREENWAY AVE STE 201Charleston, WV 25309-1475
Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 233-5764
Fax(304) 885-7475
Organization SubpartNo
Authorized OfficialDonald D. StellyPresident · (337) 233-1307
Enumeration DateSeptember 12, 2017
NPI 1386163392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

414 GREENWAY AVE STE 201, Charleston, WV 25309

Other Names 1

Doing Business AsPrimary Care At Home Of Charleston

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Primary Care At Home Of West Virginia, LLC's NPI number?

The NPI number for Primary Care At Home Of West Virginia, LLC is 1386163392. It was assigned to this organization in the NPPES registry on September 12, 2017. The provider is doing business as Primary Care At Home Of Charleston.

Where is Primary Care At Home Of West Virginia, LLC located?

Primary Care At Home Of West Virginia, LLC is located at 414 Greenway Ave Ste 201, Charleston, WV 25309. The listed phone number is (304) 356-1356.

What is Primary Care At Home Of West Virginia, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Primary Care At Home Of West Virginia, LLC was last updated on September 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.