Provider Demographics
NPI:1972665040
Name:CMO MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CMO MANAGEMENT, LLC
Other - Org Name:NICHOLAS COUNTY NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORLLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-846-2668
Mailing Address - Street 1:18 4TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26261-1203
Mailing Address - Country:US
Mailing Address - Phone:304-846-2668
Mailing Address - Fax:304-846-4851
Practice Address - Street 1:18 4TH ST
Practice Address - Street 2:
Practice Address - City:RICHWOOD
Practice Address - State:WV
Practice Address - Zip Code:26261-1203
Practice Address - Country:US
Practice Address - Phone:304-846-2668
Practice Address - Fax:304-846-4851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV85313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility