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Contact Information

HOME BASE INC.
713 BIGLEY AVE
CHARLESTON, WV25302-3356
 Phone: 304-746-2918
 Fax: 304-746-2919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HOME BASE INC.

NPI Number 1083064695
LBN Legal business name HOME BASE INC.
Authorized official DAMON CATER - (OWNER, CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2016
Last updated 06/14/2016 - About 10 years ago
Identifiers
WV License # 440
WV Medicaid 9435000000
WV Medicaid 9435000001
WV Other 440 WEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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