# NELLA'S NURSING HOME, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780682088
- **Authorized official:** MS. SHASTA L. HYSON (ADMINISTRATOR)
- **Authorized official phone:** (304) 636-2033

## Contact information

- **Practice address:** 200 WHITEMAN AVE, CRYSTAL SPRINGS, ELKINS, WV 26241-3400
- **Practice address phone:** (304) 636-2033
- **Practice address fax:** (304) 637-6206
- **Mailing address:** PO BOX 1399, ELKINS, WV 26241-1399
- **Mailing address phone:** (304) 636-2033
- **Mailing address fax:** (304) 637-6206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 17 | WV | Yes |

## Other

- **Enumeration date:** 07/11/2005
- **Last updated:** 07/13/2007