Russell Evans
Individual provider Active NPI Home Health Aide · Accoville, WV
NPI 1164310652 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1164310652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1692 Accoville Hollow Road
Accoville, WV 25606 - Phone
- (304) 928-1402
- NPI assigned
- Jun 25, 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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
1692 Accoville Hollow Road
Accoville, WV 25606
Mailing address
PO Box 94
Accoville, WV 25606-0094
Other providers in Accoville, WV
- Kimberly Dawn Bias
- Vickie Marie Blankenship
- Mandy M Cook
- Summer Evans
- Tabithia Colleen Fields
- Amanda Gail Grimmett
- Sharon Kay Harvey
- Megan Nichole Mullins
All providers in Accoville, 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 Jun 25, 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.