Rem West Virginia, LLC is a Intellectual Disabilities Intermediate Care Facility (organization) practicing in Clarksburg, West Virginia. The National Provider Identifier (NPI) is #1568330108, which was assigned on October 27, 2025, and the registration record was last updated on October 27, 2025. The practitioner's main practice location is at 408 Fowler Ave, Clarksburg, WV 26301-3314; the contact telephone number is 3046220844. The primary taxonomy of Rem West Virginia, LLC is Intellectual Disabilities Intermediate Care Facility (315P00000X). The authorized official for Rem West Virginia, LLC is Mary Patricia Rodenberg-Roberts (Vp & Sr Asst General Counsel).
An intermediate care facility providing services for individuals with intellectual disabilities.
| NPI | 1568330108 |
| Entity Type | Organization |
| Organization Name | REM WEST VIRGINIA, LLC |
| Provider Name | REM WEST VIRGINIA, LLC |
| Practice Address |
408 Fowler Ave Clarksburg WV 26301-3314 |
| Practice Telephone | 3046220844 |
| Mailing Address |
6600 France Ave S Ste 350 Edina MN 55435-1810 |
| Mailing Telephone | 8003885150 |
| Certification Date | 2025-10-26 |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |
| Is Organization Subpart | N |
| Official Name | MARY PATRICIA RODENBERG-ROBERTS |
| Official Title | VP & SR ASST GENERAL COUNSEL |
| Telephone | 9528362234 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Intellectual Disabilities |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rem West Virginia, LLC | 30 Lula Smooth Drive, Accoville, WV 25606 | Intellectual Disabilities Intermediate Care Facility | 2025-11-10 |
| Rem West Virginia, LLC | 637 Hansford St, Saint Albans, WV 25177-3155 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
| Rem West Virginia, LLC | 591 Old Bluefield Rd, Princeton, WV 24739-8938 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
| Rem West Virginia, LLC | 7782 Mount Clare Rd, Mount Clare, WV 26408-9786 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
| Rem West Virginia, LLC | 916 5th Ave, Saint Albans, WV 25177-2947 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
| Rem West Virginia, LLC | 509 Duffy St, Summersville, WV 26651-1311 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
| Rem West Virginia, LLC | 8082 S 2nd St, Clarksburg, WV 26301-8016 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
| Rem West Virginia, LLC | 101 Eastview Dr, Terra Alta, WV 26764-2002 | Intellectual Disabilities Intermediate Care Facility | 2026-01-10 |
| Rem West Virginia, LLC | 525 Proctor Bottom Rd, Amherstdale, WV 25607-8074 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
| Rem West Virginia, LLC | 1204 S Kanawha St, Beckley, WV 25801-5610 | Intellectual Disabilities Intermediate Care Facility | 2025-10-27 |
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| Code | 315P00000X |
| Taxonomy | Intellectual Disabilities Intermediate Care Facility |
| Classification | Intermediate Care Facility, Intellectual Disabilities |
| Grouping | Nursing & Custodial Care Facilities |
| Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
| Notes: Source: Public Health, 42 CFR ยง 400.200 (2021) |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Bahama Home Icf Ddh, Inc. | 27495 Bahama Ave, Hayward, CA 94545-4016 | Intellectual Disabilities Intermediate Care Facility | 2026-01-08 |
| Jason Christopher Crump | 811 Gladstone St, Detroit, MI 48202-1709 | Intellectual Disabilities Intermediate Care Facility | 2025-12-11 |
| Sunrise Community, Inc. | 5321 Se 107th Pl, Belleview, FL 34420-3231 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
| Sunrise Community, Inc. | 1604 Coletta Dr, Orlando, FL 32807-3514 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
| Sunrise Community, Inc. | 102 Alexander Rd, Starke, FL 32091-4521 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
| Sunrise Community, Inc. | 3841 Se 2nd St, Ocala, FL 34471-3022 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
| Sunrise Community, Inc. | 4748 Tunis St, Jacksonville, FL 32205-7379 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
| Sunrise Community, Inc. | 11818 High Desert Ct, Jacksonville, FL 32218-3629 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
| Sunrise Community, Inc. | 140 Claudia Dr, Jacksonville, FL 32218-4004 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
| Sunrise Community, Inc. | 71 Rosewood Ave, Ormond Beach, FL 32174-5522 | Intellectual Disabilities Intermediate Care Facility | 2026-01-05 |
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| Street Address |
408 FOWLER AVE |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-3314 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kristy Elliott | 1502 N 23rd St, Clarksburg, WV 26301-1529 | Home Health Aide | 2025-06-04 |
| Melissa Leigh Anderson | 2122 Gould Ave, Clarksburg, WV 26301-1545 | Home Health Aide | 2025-05-22 |
| Simone Bradley | 651 Washington Ave, Clarksburg, WV 26301 | Doula | 2025-04-23 |
| Mishayla Leigh Ganoe | 1957 N 23rd St, Clarksburg, WV 26301-1532 | Social Worker | 2025-11-05 |
| Carol Louise Bennett | 305 Evergreen Valley Rd, Clarksburg, WV 26301-0005 | Personal Care Attendant | 2025-07-07 |
| Brenda Waller | 66 Torie Lane, Carksburg, WV 26301 | Home Health Aide | 2025-09-30 |
| Julie Alth | 1501 Franklin Ave, Clarksburg, WV 26301-1735 | Home Health Aide | 2025-05-16 |
| Kimberly Michelle Miller | 6 Hospital Plaza, Clarksburg, WV 26301 | Professional Counselor | 2006-08-31 |
| Catherine Ann Herrod | 1722 N 22nd St, Clarksburg, WV 26301-1522 | Personal Care Attendant | 2025-09-02 |
| Mandy Wells | 5309 Indiana Ave, Clarksburg, WV 26301 | Home Health Aide | 2025-08-29 |
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|---|---|---|---|
| Virginia Wheeler Basher · Virginia Wheeler Burk | 1001 Berryville Ave, Winchester, VA 22601-5900 | Psychologist | 2017-09-27 |
| Virginia Black · Virginia Jones | 2404 W 8th St, Coffeyville, KS 67337-2931 | Behavior Technician | 2024-09-04 |
| Virginia Eulacio Cierniak · Virginia Carolina Eulacio-Guevara | 178 Franklin St, Little Ferry, NJ 07643-1215 | Mental Health Counselor | 2025-03-05 |
| Virginia H Adams · Virginia Hutcheson | 4323 Carothers Pkwy Ste 308, Franklin, TN 37067-5918 | Nurse Practitioner | 2016-05-18 |
| Nicole Virginia Wiland · Nicole Virginia Bendyna | 3315 N Ridge Rd E, Ashtabula, OH 44004-4332 | Audiologist | 2025-05-14 |
| Virginia Vereen Gitin · Virginia Vereen Gitlin | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | Medical Physician Assistant | 2021-05-21 |
| Virginia Kirkland · Virginia Lanier | 209 N Cuthbert St, Colquitt, GA 39837-3518 | Registered Dietitian | 2025-06-23 |
| Rosa Virginia White · Rosa Virginia Guedez Baute | 3435 W Broadway Ave Ste 1135, Robbinsdale, MN 55422-2974 | Medical Oncology Physician | 2019-04-02 |
| Virginia Tiffany Kerby · Virginia Tiffany Marshall | 550 N 3rd Street, Health North Building, 3rd Floor, Phoenix, AZ 85004 | Student in an Organized Health Care Education/Training Program | 2025-08-07 |
| Jillian Virginia Johnson · Jillian Virginia Schommer | 601 Elmwood Ave, Rochester, NY 14642-0001 | Student in an Organized Health Care Education/Training Program | 2020-05-09 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |