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Contact Information

PENDLETON MANOR INC.
68 GOOD SAMARITAN DRIVE
FRANKLIN, WV26807-0700
 Phone: 304-358-2322
 Fax: 304-358-2334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PENDLETON MANOR INC.

NPI # 1750364139
LBN Legal business name PENDLETON MANOR INC.
Authorized official RANDALL KROPP - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2005
Last updated 03/15/2022 - About 4 years ago
Identifiers
WV License # 66
WV Medicaid 0003817000
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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