Tessa Simmons
Individual provider Active NPI Home Health Aide · Hendricks, WV
NPI 1053290452 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1053290452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 23 Poplar Street
Hendricks, WV 26271 - Phone
- (304) 614-4687
- NPI assigned
- Aug 29, 2025
- Sex
- Female
- 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
23 Poplar Street
Hendricks, WV 26271
Mailing address
PO Box 2
Hendricks, WV 26271-0002
Other providers in Hendricks, WV
All providers in Hendricks, 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 Aug 29, 2025. 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.