1376948539 NPI number — ALL ABOUT CARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376948539 NPI number — ALL ABOUT CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL ABOUT CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376948539
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4273
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHAPMANVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-855-4430
Provider Business Mailing Address Fax Number:
304-855-6261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
86 SHAE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAPMANVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-855-4430
Provider Business Practice Location Address Fax Number:
304-855-6261
Provider Enumeration Date:
10/30/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CLAY
Authorized Official First Name:
JACKIE
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
304-784-2386

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3810022477 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".