Home Base Inc.

LBN: Home Base Inc.
Home Base Inc. is an health care organization with primary practice located at 713 Bigley Ave , Charleston WV 25302-3356. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Home Base Inc. can be contacted via phone (304) 746-2918, or through Cater, Damon Case via phone (304) 746-2918.

Contact Information

Primary practice address
713 Bigley Ave Charleston WV 25302-3356
Phone: (304) 746-2918
Fax: (304) 746-2919
Website:
Map and Directions
Authorized official contact:
Name: Cater, Damon Case OWNER, CEO
Phone: (304) 746-2918

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 440 West Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 440 West Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 440 West Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 440 West Virginia
Agencies / Community/Behavioral Health 251S00000X 440 West Virginia

Profile Details

NPI number 1083064695
LBN Legal business name Home Base Inc.
DBA Doing business as
Authorized official Cater, Damon Case OWNER, CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2016
Last updated Jun 14th, 2016 - about 8 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 1083064695 NPPES
West Virginia Other 440 WEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE
West Virginia MEDICAID 9435000000 WEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE
West Virginia MEDICAID 9435000001 WEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE

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