MEDICARE: PRIORITY ONE HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)		WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	609435200	OTHER	WV	FED. BLACK LUNG/WORK COMP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	001757231	OTHER	WV	MOUNTAIN STATE BC/BS

General Provider Information

NPI Number	:	1619915915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIORITY ONE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 5611
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24739-5611
Country	:	US
Telephone Number	:	304-425-4006
Fax Number	:	304-425-4019

Provider Business Practice Location Address
First Line	:	2057 ATHENS ROAD
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24739-6258
Country	:	US
Telephone Number	:	304-425-4006
Fax Number	:	304-425-4019

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. PATRICIA DAWN VEST II
Credential	:	RRT
Telephone Number	:	304-425-4006

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/21/2022

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Directions to “PRIORITY ONE HOME CARE, LLC ” Practice Location

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