Healthcare Provider Details

I. General information

NPI: 1538382551
Provider Name (Legal Business Name): CATHOLIC CHARITIES WEST VIRGINIA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 13TH ST
WHEELING WV
26003-3310
US

IV. Provider business mailing address

7 13TH ST
WHEELING WV
26003-3310
US

V. Phone/Fax

Practice location:
  • Phone: 304-233-0880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LAURA ELOI
Title or Position: ASSISTANT PROGRAM OFFICER
Credential: LSW
Phone: 304-905-9870