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NPI Code Detail

MEDICARE: MOUNTAIN TOP HOME CARE

MEDICARE: MOUNTAIN TOP HOME CARE
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1174492417
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN TOP HOME CARE
Provider Business Mailing Address
First Line : 2110 KANAWHA BLVD E STE 101
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-2217
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2110 KANAWHA BLVD E STE 101
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-2217
Country : US
Telephone Number : 681-265-0036
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : STEPHANIE ANN BUTCHER
Credential : RN
Telephone Number : 304-687-1808
Provider Enumeration Date : 11/04/2025
Last Update Date : 11/04/2025

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Directions to “MOUNTAIN TOP HOME CARE ” Practice Location

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