Healthcare Provider Details

I. General information

NPI: 1447920236
Provider Name (Legal Business Name): WVUHS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 NEW CREEK HWY
KEYSER WV
26726-7494
US

IV. Provider business mailing address

2673 DAVISSON RUN RD
CLARKSBURG WV
26301-6838
US

V. Phone/Fax

Practice location:
  • Phone: 304-597-3366
  • Fax: 304-597-1261
Mailing address:
  • Phone: 304-624-2424
  • Fax: 304-622-9458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS BARCELLONA
Title or Position: CFO
Credential:
Phone: 304-598-4655