Pendleton Nursing Home, Inc.

LBN: Pendleton Manor Inc.
Pendleton Nursing Home, Inc. is an health care organization with primary practice located at 68 Good Samaritan Drive , Franklin WV 26807-0700. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Pendleton Manor Inc. can be contacted via phone (304) 358-2322, or through Kropp, Randall via phone (304) 358-2322.

Contact Information

Primary practice address
68 Good Samaritan Drive Franklin WV 26807-0700
Phone: (304) 358-2322
Fax: (304) 358-2334
Website:
Map and Directions
Authorized official contact:
Name: Kropp, Randall
Phone: (304) 358-2322

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 66 West Virginia
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1750364139
LBN Legal business name Pendleton Manor Inc.
DBA Doing business as Pendleton Nursing Home, Inc.
Authorized official Kropp, Randall
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 15th, 2022 - 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 1750364139 NPPES
West Virginia MEDICAID 0003817000

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