<Unavail>

LBN: Seventeenth Street Associates Llc
<Unavail> is an health care organization with primary practice located at 1720-17Th Street , Huntington WV 25701-4235. 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. Seventeenth Street Associates Llc can be contacted via phone (304) 529-6031, or through Simons, Thomas P. via phone (770) 829-5100.

Contact Information

Primary practice address
1720-17Th Street Huntington WV 25701-4235
Phone: (304) 529-6031
Fax: (304) 525-3954
Website:
Map and Directions
Authorized official contact:
Name: Simons, Thomas P.
Phone: (770) 829-5100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 8 West Virginia

Profile Details

NPI number 1386687515
LBN Legal business name Seventeenth Street Associates Llc
DBA Doing business as <Unavail>
Authorized official Simons, Thomas P.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 11th, 2020 - about 6 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 1386687515 NPPES
West Virginia Other 150028WVA PREVIOUS MEDICAID NUMBER
West Virginia MEDICAID 0002926000 PREVIOUS MEDICAID NUMBER

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