200 Whitman Avenue Opco Llc, NPI 1609450386
Skilled Nursing Facility in Elkins, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609450386
NPI Entity Type Organization
Provider Name 200 Whitman Avenue Opco Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 200 Whiteman Ave, Elkins, WV, US
Provider Mailing Address 14c 53rd St, Brooklyn, NY, US, 112322644
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Sam Stern
Official Position CFO
Phone 877-567-0402

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

Description (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

Autumn Lake Healthcare at Crystal Springs
Doing Business As

Business Address

200 Whitman Avenue Opco Llc
200 Whiteman Ave

Elkins, WV, US

Phone: 877-567-0402

Mailing Address

200 Whitman Avenue Opco Llc
14c 53rd St
Brooklyn, NY, US
ZIP 112322644
Phone: 877-567-0402

Secondary Taxonomies

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

Jennifer Knight

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Home Health Registered Nurse

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1154046514

MR. Wayne Matthew Bachelor

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1730804188

Melissa Jones

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Community Health Worker

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Charleston, WV

1114642568

Gideon Mossor

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Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1982329330

Tanisha Wilson

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Community Health Worker

200 Association Dr Ste 130

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1164147500

Deloris Ann Hopkins

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Home Health Aide

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Ashford, WV

1255056693

Elizabeth Neal

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1629793054

Luke Petrice

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Case Manager/Care Coordinator

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1588389910

Joshua Riley

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Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1992420319

Karie Morrison

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Personal Care Attendant

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1275258691

Katelyn Lucas

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Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1558086975

Jenna Taylor

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1740905165

Tisean Jayree Walker

Individual

Personal Care Attendant

1650 Glenway Ln

Huntington, WV

1922723345

Montana Wallace

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1033834452

Natasha Sharon Sexton

Individual

Personal Care Attendant

400 Bluefield St Lot 16

Wayne, WV

1770208191

Katheryn Joyce Bailey

Individual

Personal Care Attendant

1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1174248587

Stevie Dawn Cline

Individual

Personal Care Attendant

695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

Individual

School Registered Nurse

267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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