Ryan Thacker
Individual provider Active NPI Home Health Aide · Glen Daniel, WV
NPI 1023945268 · NPPES record last updated May 4, 2026
Key facts
- NPI
- 1023945268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 145 Logan Tpke
Glen Daniel, WV 25844 - Phone
- (304) 578-9852
- NPI assigned
- May 4, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
145 Logan Tpke
Glen Daniel, WV 25844
Mailing address
PO Box 63
Fairdale, WV 25839-0063
Other providers in Glen Daniel, WV
- Rose Rhodes
- Jan L Roop
- Pamela Renae Sadzewicz
- Sandra Scott
- Ralph Edward Simms Sr.
- Teresa C. Thompson
- Nathaniel J Vangrouw
- Walgreen Co
- Sandra Wall
- Mylena Ann Yee
All providers in Glen Daniel, WV · Home Health Aide in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.