Sarah Peacock
Individual provider Active NPI Home Health Aide · Delray, WV
NPI 1124855564 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1124855564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 8981 Delray Rd
Delray, WV 26714-4541 - Phone
- (304) 496-7809
- NPI assigned
- Sep 18, 2024
- 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
8981 Delray Rd
Delray, WV 26714-4541
Mailing address
8981 Delray Rd
Delray, WV 26714-4541
Phone (304) 496-7809
Other providers in Delray, WV
- Enria Guillen
- Kaydence Haines
- Beth Hoopengarner
- Connie S Johnston
- Tina Kummer
- Penelope Saville
- Lisa Ann Staub
All providers in Delray, 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 Sep 18, 2024. 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.