GREENBRIER COUNTY COMMITTEE ON AGING - NPI 1669872057

Q: What is Greenbrier County Committee On Aging's NPI number?

The NPI number for Greenbrier County Committee On Aging is 1669872057. It was assigned to this organization in the NPPES registry on September 4, 2014.

Q: What is Greenbrier County Committee On Aging's specialty?

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

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About Greenbrier County Committee On Aging NPPES

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

GREENBRIER COUNTY COMMITTEE ON AGING (NPI 1669872057) is a healthcare organization registered as a home health in Rupert, West Virginia and active in the NPI registry since September 2014. The organization lists John Wyman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669872057

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameGREENBRIER COUNTY COMMITTEE ON AGING

Location Address284 GREENBRIER STREETRupert, WV 25984

Mailing Address284 Greenbrier StreetRupert, WV 25984 · (304) 392-5138 · Fax (304) 392-5969

Phone(304) 392-5138

Fax(304) 392-5969

Organization SubpartNo

Authorized OfficialJohn WymanExecutive Director · (304) 392-5138

Enumeration DateSeptember 4, 2014

✔ NPI 1669872057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in WV · 10362952

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.

284 GREENBRIER STREET, Rupert, WV 25984

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Other Identifiers 2

Medicaid0030600000WV

Medicaid0030600001WV

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA FITZWATER

Technician (Personal Care Attendant)