Miranda Kay Hodge

Individual provider Active NPI Personal Care Attendant · Kermit, WV

NPI 1083559975 · NPPES record last updated Apr 20, 2026

Key facts

NPI
1083559975
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
3197 Jennies Creek Rd
Kermit, WV 25674-8097
Phone
(304) 541-6766
NPI assigned
Apr 20, 2026
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

3197 Jennies Creek Rd
Kermit, WV 25674-8097

Mailing address

3197 Jennies Creek Rd
Kermit, WV 25674-8097
Phone (304) 541-6766

Other providers in Kermit, WV

All providers in Kermit, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.