80 Maddex Drive Operations LLC
NPI 1144404443ActiveOrganization· Skilled Nursing Facility· Shepherdstown, WV
Skilled Nursing Facility in Shepherdstown, West Virginia, registered in NPPES in December 2007. The authorized official on file is Michael Berg, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1144404443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2007 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 133 | 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) |
|---|
Other Skilled Nursing Facility providers in Shepherdstown
- 1104773407
- 1619921277