Provider Demographics
NPI:1831070333
Name:HOPEMONT WVA FACILITY OPERATIONS LLC
Entity type:Organization
Organization Name:HOPEMONT WVA FACILITY OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRUITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-340-2707
Mailing Address - Street 1:150 HOPEMONT DR
Mailing Address - Street 2:
Mailing Address - City:TERRA ALTA
Mailing Address - State:WV
Mailing Address - Zip Code:26764-7728
Mailing Address - Country:US
Mailing Address - Phone:304-789-2411
Mailing Address - Fax:
Practice Address - Street 1:150 HOPEMONT DR
Practice Address - Street 2:
Practice Address - City:TERRA ALTA
Practice Address - State:WV
Practice Address - Zip Code:26764-7728
Practice Address - Country:US
Practice Address - Phone:304-789-2411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility