National Provider Identifier Database

REM WEST VIRGINIA LLC
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

REM WEST VIRGINIA, LLC
408 FOWLER AVE
CLARKSBURG, WV26301-3314
Phone: 304-622-0844
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for REM WEST VIRGINIA, LLC

NPI Number 1568330108
Legal business name
LBN
REM WEST VIRGINIA, LLC
Authorized official MARY RODENBERG-ROBERTS - (VP & SR ASST GENERAL COUNSEL)
Entity Organization
Organization subpart No
Enumeration date 10/27/2025
Last updated 10/27/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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