Provider Demographics
NPI:1922113406
Name:ALLAY HOME CARE, LLC
Entity Type:Organization
Organization Name:ALLAY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE MEMBER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-255-0202
Mailing Address - Street 1:3253 ROBERT C BYRD DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3728
Mailing Address - Country:US
Mailing Address - Phone:304-255-0202
Mailing Address - Fax:304-255-3905
Practice Address - Street 1:3253 ROBERT C BYRD DR
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3728
Practice Address - Country:US
Practice Address - Phone:304-255-0202
Practice Address - Fax:304-255-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0022035000Medicaid
WV1248510001Medicare ID - Type UnspecifiedPROVIDER NUMBER