RESCARE
NPI 1750446738
Intermediate Care Facility, Intellectual Disabilities in Fairmont, WV

Active since December 27, 2006CLIA 51D1051261 · Waiver
1542 MARY LOU RETTON DR, FAIRMONT, WV 26554(304) 366-4415 Get Directions Write a Review

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

About Rescare NPPES

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

RESCARE (NPI 1750446738) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Fairmont, West Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Kandi Shaffer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750446738
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRESCARE
Location Address1542 MARY LOU RETTON DRFairmont, WV 26554-2225
Mailing Address5000 Greenbag Road, Unit B-6Morgantown, WV 26201 · (304) 225-4550 · Fax (304) 225-4555
Organization SubpartNo
Authorized OfficialKandi ShafferExecutive Director · (304) 225-4550
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1750446738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in WV · 298
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1542 MARY LOU RETTON DR, Fairmont, WV 26554

Other Identifiers 1

Medicaid0005258026WV

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 51D1051261

Rescare Northeast Agency Barbour Street Group Home · Buckhannon, WV
Active · expires Feb 26, 2028
CLIA Number51D1051261
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorDella R. Townsend
Laboratory Phone(304) 472-4227
Laboratory LocationRescare Northeast Agency Barbour Street Group Home140 Barbour Street, Buckhannon, WV 26201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Intermediate Care Facility, Intellectual Disabilities
1542 MARY LOU RETTON DR
FAIRMONT, WV 26554

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 Rescare's NPI number?

The NPI number for Rescare is 1750446738. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Rescare located?

Rescare is located at 1542 Mary Lou Retton Dr, Fairmont, WV 26554. The listed phone number is (304) 366-4415.

What is Rescare's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Rescare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1051261) is associated with this NPI, valid through February 26, 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 Rescare 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.