DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HOME BASE INC.

MEDICARE: HOME BASE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor440WV
2101YM0800XMental Health Counselor440WV
3101YP2500XProfessional Counselor440WV
4103T00000XPsychologist440WV
5251S00000XCommunity/Behavioral Health Agency440WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1440OTHERWVWEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083064695
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME BASE INC.
Provider Business Mailing Address
First Line : PO BOX 20033
Second Line :
City : CHARLESTON
State : WV
Zip : 25362-1033
Country : US
Telephone Number : 304-746-2918
Fax Number : 304-746-2919
Provider Business Practice Location Address
First Line : 713 BIGLEY AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3356
Country : US
Telephone Number : 304-746-2918
Fax Number : 304-746-2919
Authorized Official
Title or Position : OWNER, CEO
Name : DAMON CASE CATER
Credential : OWNER, CEO
Telephone Number : 304-746-2918
Provider Enumeration Date : 06/14/2016
Last Update Date : 06/14/2016

Similar Medicare Providers

1669327474 — BILLIE PAULEY PARAPROFESSIONAL
Practice Location Address:
713 BIGLEY AVE
CHARLESTON, WV
25302-3356
Practice Phone: 304-746-2918
Practice Fax:
1013210327 — DR. JENNIFER BULGER D.C.
Practice Location Address:
713 BIGLEY AVE
CHARLESTON, WV
25302-3356
Practice Phone: 304-344-2225
Practice Fax: 304-344-2226
1194147330 — CHARLESTON CHIROPRACTIC COMPANY PLLC
Practice Location Address:
713 BIGLEY AVE
CHARLESTON, WV
25302-3356
Practice Phone: 304-344-2225
Practice Fax: 304-344-2226
1871980557 — HOME BASE INC.
Practice Location Address:
713 BIGLEY AVE
CHARLESTON, WV
25302-3356
Practice Phone: 304-746-2918
Practice Fax: 304-746-2919
1063071421 — BENJAMIN ELON REDMOND
Practice Location Address:
713 BIGLEY AVE STE 202
CHARLESTON, WV
25302-3356
Practice Phone: 304-807-9589
Practice Fax: 304-746-2919
1144898677 — JESSICA MCELRAVY
Practice Location Address:
713 BIGLEY AVE
CHARLESTON, WV
25302-3356
Practice Phone: 304-746-2918
Practice Fax: 304-746-2919

Directions to “HOME BASE INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.