Provider Demographics
NPI:1346428554
Name:PRIORITY ONE HOME CARE, LLC
Entity Type:Organization
Organization Name:PRIORITY ONE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:VEST
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:304-425-4006
Mailing Address - Street 1:1201 STAFFORD DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2465
Mailing Address - Country:US
Mailing Address - Phone:304-425-4006
Mailing Address - Fax:
Practice Address - Street 1:611 NICHOLAS ST
Practice Address - Street 2:
Practice Address - City:RUPERT
Practice Address - State:WV
Practice Address - Zip Code:25984
Practice Address - Country:US
Practice Address - Phone:304-392-2555
Practice Address - Fax:304-392-2556
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIORITY ONE HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV000181332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies