Provider Demographics
NPI:1780679332
Name:APPALACHIAN REGIONAL HEALTHCARE INC
Entity Type:Organization
Organization Name:APPALACHIAN REGIONAL HEALTHCARE INC
Other - Org Name:BECKLEY ARH HOME HEALTH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-226-2511
Mailing Address - Street 1:ARH HOME SERVICES
Mailing Address - Street 2:306 MORTON BLVD., SUITE A
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9418
Mailing Address - Country:US
Mailing Address - Phone:606-487-6157
Mailing Address - Fax:606-439-0375
Practice Address - Street 1:306 STANAFORD RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3142
Practice Address - Country:US
Practice Address - Phone:304-255-3373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001742031OtherMOUNTAIN STATE BC/BS
WV=========OtherBC/BS PROVIDER NUMBER
WV=========OtherWV WORKERS COMP PROVIDER
WV0001092003Medicaid
WV=========-46OtherWV WORKERS COMP PROVIDER