National Provider Identifier Database

RESCARE WEST VIRGINIA INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

RESCARE WEST VIRGINIA, INC
1200 3RD ST
MARTINSBURG, WV25401-4792
Phone: 304-263-4742
Fax: 304-596-2395
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for RESCARE WEST VIRGINIA, INC

NPI Number 1356406995
Legal business name
LBN
RESCARE WEST VIRGINIA, INC
Authorized official MARK LANDIS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 331
  • WV Medicaid: 0003445000

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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