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MEDICAID WAIVER
NPI 1639292873
Home Health in Sutton, WV

Active since April 10, 2007
105 JERRY BURTON DR, SUTTON, WV 26601(304) 765-7738(304) 765-7308 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medicaid Waiver NPPES

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

MEDICAID WAIVER (NPI 1639292873) is a healthcare organization registered as a home health in Sutton, West Virginia and active in the NPI registry since April 2007. The organization lists Lori A Walker, Director, as its authorized official.

NPPES Registry Identity

NPI1639292873
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMOUNTAIN CAP OF W
Location Address105 JERRY BURTON DRSutton, WV 26601-9767
Mailing Address105 Jerry Burton DrSutton, WV 26601-9767 · (304) 765-7738 · Fax (304) 765-7308
Phone(304) 765-7738
Fax(304) 765-7308
Organization SubpartNo
Authorized OfficialLori A WalkerDirector · (304) 765-7738
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639292873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
105 JERRY BURTON DR, Sutton, WV 26601
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Other Names 1

Other NameMedicaid Waiver

Other Identifiers 1

Medicaid0031226000WV

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 Mountain Cap Of W's NPI number?

The NPI number for Mountain Cap Of W is 1639292873. It was assigned to this organization in the NPPES registry on April 10, 2007. The provider is also known as Medicaid Waiver.

Where is Mountain Cap Of W located?

Mountain Cap Of W is located at 105 Jerry Burton Dr, Sutton, WV 26601. The listed phone number is (304) 765-7738.

What is Mountain Cap Of W's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mountain Cap Of W 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.