Active NPI
Gerald Funkhouser
- Home Health Aide
- Baker, WV
National Provider Identifier
1124912951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- PO Box 211
Baker, WV 26801-0211 - Phone
- (304) 707-7775
- NPI assigned
- Jun 5, 2025
- 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 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
PO Box 211
Baker, WV 26801-0211
Mailing address
PO Box 211
Baker, WV 26801-0211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2025.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1124912951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211",
"city": "BAKER",
"state": "WV",
"postal_code": "268010211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 211",
"city": "BAKER",
"state": "WV",
"postal_code": "268010211",
"telephone_number": "304-707-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNKHOUSER",
"first_name": "GERALD",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baker, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.