Ravenswood Village

LBN: 200 South Ritchie Avenue Operations Llc
Ravenswood Village is an health care organization with primary practice located at 200 S Ritchie Ave , Ravenswood WV 26164-1721. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 200 South Ritchie Avenue Operations Llc can be contacted via phone (304) 273-9385, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
200 S Ritchie Ave Ravenswood WV 26164-1721
Phone: (304) 273-9385
Fax: (304) 273-9387
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 122 West Virginia

Profile Details

NPI number 1124202304
LBN Legal business name 200 South Ritchie Avenue Operations Llc
DBA Doing business as Ravenswood Village
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2007
Last updated May 2nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124202304 NPPES
West Virginia MEDICAID 0002860000

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