Organization
TAYLORED LIFE CARE
Active
Organization
TAYLORED LIFE CARE
Active
Parent organization
TAYLORED LIFE CARE
Other names
River's Edge Telehealth and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAYLORED LIFE CARE
Authorized official
SANDRA K SHOCKEY APRN (APRN)
(304) 893-7000
Entity
Organization
Contact information
Practice address
747 N MAIN ST, SUITE C, MOOREFIELD, WV 26836
(304) 916-2593
Mailing address
806 NEAL ST UNIT 3589, PARKERSBURG, WV 26103-4032
(304) 916-2593
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679706469
NPI
—
Enumeration date
03/26/2021
Last updated
03/26/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up