Brandi Small

Individual provider Active NPI Home Health Aide · Shanks, WV

NPI 1134046428 · NPPES record last updated Jun 30, 2026

Key facts

NPI
1134046428
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
20613 Northwestern Pike Lot 9
Shanks, WV 26761-1408
Phone
(304) 822-0853
NPI assigned
Jun 30, 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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

20613 Northwestern Pike Lot 9
Shanks, WV 26761-1408

Mailing address

PO Box 315
Shanks, WV 26761-0315

Other providers in Shanks, WV

All providers in Shanks, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.