Jacob's Ladder At Brookside Farm, Llc

NPI: 1205344355

Jacob's Ladder At Brookside Farm, Llc

Q: What is Jacob's Ladder At Brookside Farm, Llc's NPI number?

Jacob's Ladder At Brookside Farm, Llc's NPI number is 1205344355, a unique 10-digit identifier issued by CMS.

Q: What does Jacob's Ladder At Brookside Farm, Llc specialize in?

Jacob's Ladder At Brookside Farm, Llc specializes in Specialty not listed, taxonomy code 261QR0405X.

Q: Where does Jacob's Ladder At Brookside Farm, Llc practice?

Jacob's Ladder At Brookside Farm, Llc practices in Aurora, WV 26705-8036.

Q: When was Jacob's Ladder At Brookside Farm, Llc's NPI issued?

Jacob's Ladder At Brookside Farm, Llc's NPI was issued on January 10, 2018.

Q: What is Jacob's Ladder At Brookside Farm, Llc's provider type?

Jacob's Ladder At Brookside Farm, Llc is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: January 10, 2018

Quick Facts

NPI Number

1205344355

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy261QR0405X — Specialty not listed

Phone

(304) 239-1214

StateWV

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1205344355)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (January 10, 2018)

Data source: CMS NPPES

Provider Overview

JACOB'S LADDER AT BROOKSIDE FARM, LLC is a Healthcare provider based in Aurora, WV who has been registered with CMS since 2018. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1205344355

Provider TypeOrganization

StatusActive

Enumeration DateJanuary 10, 2018

Practice Location

CityAurora

StateWV

ZIP Code26705-8036

Phone(304) 239-1214

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code261QR0405X

License StateWV

Mailing Address

CityAurora

StateWV

ZIP Code26705-8036

Phone(304) 239-1214

Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1205344355 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1205344355for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1205344355 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

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