Sundale Nursing Home

LBN: Monongalia Home Corporation
Sundale Nursing Home is an health care organization with primary practice located at 800 J D Anderson Dr , Morgantown WV 26505-3474. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Monongalia Home Corporation can be contacted via phone (304) 599-0497, or through Hicks, Michael Wayne via phone (304) 599-0497.

Contact Information

Primary practice address
800 J D Anderson Dr Morgantown WV 26505-3474
Phone: (304) 599-0497
Fax: (304) 599-9083
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Michael Wayne N.H.A.
Phone: (304) 599-0497

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 23 West Virginia

Profile Details

NPI number 1790865962
LBN Legal business name Monongalia Home Corporation
DBA Doing business as Sundale Nursing Home
Authorized official Hicks, Michael Wayne N.H.A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 27th, 2023 - about 3 years ago

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 1790865962 NPPES
West Virginia MEDICAID 1790865962

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