Stephanie Renee Ross
Individual provider Active NPI Personal Care Attendant · Man, WV
NPI 1174338776 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1174338776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 3862 Mingo Hwy
Man, WV 25635-9209 - Phone
- (304) 733-1094
- NPI assigned
- Feb 11, 2025
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
3862 Mingo Hwy
Man, WV 25635-9209
Mailing address
3862 Mingo Hwy
Man, WV 25635-9209
Other providers in Man, WV
- Carlee Samantha Osborne
- Pioneer Medical Services Inc
- Tiffany Michelle Pullin
- Stanley Robinette
- Brian Michael Robinson
- Bradley Simpson
- Leah Smith
- Kristy L Sorrell
- Candice Stacy
- Michele Ann Stapleton
All providers in Man, WV · Personal Care Attendant 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 Feb 11, 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.