Mountaineer Homecare

LBN: Mountaineer Homecare, Llc
Mountaineer Homecare is an health care organization with primary practice located at 400 Tracy Way Ste 100 , Charleston WV 25311-1280. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Mountaineer Homecare, Llc can be contacted via phone (304) 720-0205, or through Gachassin, Nicholas via phone (337) 233-1307.

Contact Information

Primary practice address
400 Tracy Way Ste 100 Charleston WV 25311-1280
Phone: (304) 720-0205
Fax: (304) 720-0262
Website:
Map and Directions
Authorized official contact:
Name: Gachassin, Nicholas
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1710143375
LBN Legal business name Mountaineer Homecare, Llc
DBA Doing business as Mountaineer Homecare
Authorized official Gachassin, Nicholas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2008
Last updated Mar 29th, 2021 - about 3 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 1710143375 NPPES
West Virginia MEDICAID 3810013957

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