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Mountaineer Home Health, Llc
Home Health Agency in South Charleston, West Virginia
NPI 1629101910

Mountaineer Home Health, Llc is a Home Health Agency based in South Charleston, WV. Mountaineer Home Health, Llc practices in South Charleston, WV. The NPI Number for Mountaineer Home Health, Llc is 1629101910 and holds a License No. 90364 (West Virginia).

The current practice location address for Mountaineer Home Health, Llc is 325 4Th Ave, South Charleston, WV and can be reached out via phone at 304-720-0205 and via fax at 304-720-0262.

Location: 325 4Th Ave, South Charleston, WV, 25303-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629101910
Provider Name
Mountaineer Home Health, Llc
Credential
Provider Entity Type
Organization
Address
325 4Th Ave, South Charleston, WV, 25303-1266
Phone Number
304-720-0205
Fax Number
304-720-0262
Provider Enumeration Date
03/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004241000 05 WV
institution
Provider Business Practice Location Address Details
Address
325 4Th Ave
City
South Charleston
State
West Virginia
Zip
25303-1266
Phone Number
304-720-0205
Fax Number
304-720-0262
person
Provider Business Mailing Address Details
Address
325 4Th Ave
City
South Charleston
State
West Virginia
Zip
25303-1266
Phone Number
304-720-0205
Fax Number
304-720-0262
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
90364 (West Virginia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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