Provider Demographics
NPI:1710041959
Name:RESCARE, INC
Entity Type:Organization
Organization Name:RESCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-342-5839
Mailing Address - Street 1:1207 QUARRIER ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1826
Mailing Address - Country:US
Mailing Address - Phone:304-342-5839
Mailing Address - Fax:304-342-9152
Practice Address - Street 1:1033 WOODWARD DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25312-1217
Practice Address - Country:US
Practice Address - Phone:304-720-6902
Practice Address - Fax:304-720-6904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV345315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810001954Medicaid