Tammy Brown
Individual provider Active NPI Home Health Aide · Procious, WV
NPI 1184417784 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1184417784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 493 Left Reed Fork Rd
Procious, WV 25164-8186 - Phone
- (304) 880-6089
- NPI assigned
- May 27, 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
493 Left Reed Fork Rd
Procious, WV 25164-8186
Mailing address
PO Box 548
Clay, WV 25043-0548
Other providers in Procious, WV
All providers in Procious, 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 May 27, 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.