Active NPI
Brock Allen
- Home Health Aide
- Camden on Gauley, WV
National Provider Identifier
1003608241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 382 Maple Inn Rd
Camden on Gauley, WV 26208-8714 - Phone
- (304) 644-0855
- NPI assigned
- May 22, 2025
- Last updated
- May 22, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
382 Maple Inn Rd
Camden on Gauley, WV 26208-8714
Mailing address
382 Maple Inn Rd
Camden on Gauley, WV 26208-8714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1003608241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 MAPLE INN RD",
"city": "CAMDEN ON GAULEY",
"state": "WV",
"postal_code": "262088714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 MAPLE INN RD",
"city": "CAMDEN ON GAULEY",
"state": "WV",
"postal_code": "262088714",
"telephone_number": "304-644-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BROCK",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden on Gauley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.