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General NPI Number Information
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NPI Number | 1013321058
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Entity Type | Organization
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Legal Business Name | BERKELEY CO COMM ON AGING
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 217 N HIGH ST
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City | MARTINSBURG
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State | WV
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Zip | 25404-4419
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Country | US
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Telephone | 304-263-8873
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Fax | 304-596-2254
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Provider Business Mailing Address
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Address Line | 217 N HIGH ST
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City | MARTINSBURG
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State | WV
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Zip | 25404-4419
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Country | US
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Telephone | 304-263-8873
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Fax | 304-596-2254
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMY ORNDOFF
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Credential |
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Telephone | 304-263-8873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | WV
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