National Provider Identifier Database

COMMISSION ON AGING FAMILY SERVICES
Hospice Care, Community Based


Contact Information

COMMISSION ON AGING FAMILY SERVICES
111 VIRGINIA AVE
PETERSBURG, WV26847-1713
Phone: 304-257-1666
Fax: 304-257-9145
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for COMMISSION ON AGING FAMILY SERVICES

NPI Number 1174721963
Legal business name
LBN
COMMISSION ON AGING FAMILY SERVICES
Authorized official DARLENE EVANS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/03/2007
Last updated 08/31/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 0030591000
  • WV Medicaid: 0030591001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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