Home Base Lewis County Group Home

LBN: Home Base Inc.
Home Base Lewis County Group Home is an health care organization with primary practice located at 518 Monroe Ave , Weston WV 26452-1844. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Home Base Inc. can be contacted via phone (304) 269-0024, or through Cater, Damon C via phone (304) 269-0024.

Contact Information

Primary practice address
518 Monroe Ave Weston WV 26452-1844
Phone: (304) 269-0024
Fax: (304) 269-0025
Website:
Map and Directions
Authorized official contact:
Name: Cater, Damon C
Phone: (304) 269-0024

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 135 West Virginia

Profile Details

NPI number 1770773970
LBN Legal business name Home Base Inc.
DBA Doing business as Home Base Lewis County Group Home
Authorized official Cater, Damon C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 15th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770773970 NPPES
West Virginia MEDICAID 9435000001

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