Healthcare Provider Details
I. General information
NPI: 1962003715
Provider Name (Legal Business Name): WVUHS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2020
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
69 MAZE PLAZA
ELIZABETH WV
26143
US
IV. Provider business mailing address
PO BOX 8292 1 MEDICAL CENTER DR., ATTN. LINDA CARTE
MORGANTOWN WV
26506
US
V. Phone/Fax
- Phone: 304-275-5001
- Fax:
- Phone: 681-342-1830
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TODD
A
KARPINSKI
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 304-598-6441