200 South Ritchie Avenue Operations LLC
NPI 1124202304ActiveOrganization· Skilled Nursing Facility· Ravenswood, WV
Skilled Nursing Facility in Ravenswood, West Virginia, registered in NPPES in December 2007. The authorized official on file is Michael T. Berg, Assistant Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1124202304 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 24, 2007 |
| Last updated in NPPES | May 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 122 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WV) |
|---|
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