Healthcare Provider Details

I. General information

NPI: 1013289156
Provider Name (Legal Business Name): ALL ABOUT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2012
Last Update Date: 11/15/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 SHAE AVE
CHAPMANVILLE WV
25508
US

IV. Provider business mailing address

PO BOX 4273
CHAPMANVILLE WV
25508
US

V. Phone/Fax

Practice location:
  • Phone: 304-855-4430
  • Fax: 304-855-6261
Mailing address:
  • Phone: 304-855-4430
  • Fax: 304-855-6261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number2261-0377
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2261-0377
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. JACKIE LEE CLAY
Title or Position: VICE PRESIDENT
Credential:
Phone: 304-784-2386