Healthcare Provider Details
I. General information
NPI: 1922609155
Provider Name (Legal Business Name): WVUHS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2020
Last Update Date: 10/21/2023
Certification Date: 10/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 TELETECH DR
MOUNDSVILLE WV
26041-2790
US
IV. Provider business mailing address
PO BOX 8292 1 MEDICAL CENTER DRIVE, ATT. LINDA CARTE
MORGANTOWN WV
26506
US
V. Phone/Fax
- Phone: 304-843-3379
- 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