Green Acres Regional Ctr Inc

LBN: Green Acres Regional Ctr Inc
Green Acres Regional Ctr Inc is an health care organization with primary practice located at 7830 Ohio River Road , Lesage WV 25537. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Rehabilitation. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Green Acres Regional Ctr Inc can be contacted via phone (304) 762-2522, or through Smith, Emma Sue via phone (304) 762-2520.

Contact Information

Primary practice address
7830 Ohio River Road Lesage WV 25537
Fax: (304) 762-2862
Website:
Authorized official contact:
Name: Smith, Emma Sue

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 0005317000
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 0005317002

Profile Details

NPI number 1912190208
LBN Legal business name Green Acres Regional Ctr Inc
DBA Doing business as
Authorized official Smith, Emma Sue
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 21st, 2007 - about 17 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 1912190208 NPPES
West Virginia MEDICAID 0005317000
West Virginia Other 0005317002

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