Healthcare Provider Details

I. General information

NPI: 1114854411
Provider Name (Legal Business Name): GREATER WHEELING COALITION FOR THE HOMELESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 15TH ST
WHEELING WV
26003-3551
US

IV. Provider business mailing address

84 15TH ST
WHEELING WV
26003-3551
US

V. Phone/Fax

Practice location:
  • Phone: 304-232-6105
  • Fax: 304-233-6609
Mailing address:
  • Phone: 304-232-6105
  • Fax: 304-233-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: AARON ANTHONY BADIA
Title or Position: CLINICAL PROGRAM MANAGER
Credential: CCMA
Phone: 304-232-6105