Jacqueline McDonough
Individual provider Active NPI Home Health Aide · Kenna, WV
NPI 1225926702 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1225926702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 4184 Sugar Creek Rd
Kenna, WV 25248-6095 - Phone
- (304) 550-0606
- 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
4184 Sugar Creek Rd
Kenna, WV 25248-6095
Mailing address
4184 Sugar Creek Rd
Kenna, WV 25248-6095
Other providers in Kenna, WV
- Linda Gibson
- Estella Jeffery
- Jenniferlmcdonald LLC
- Catherine Lanham
- Dorothy L McCombs
- William Paul McDonough Jr.
- Collen Moore
- Jason Ray Phillips
- Benjamin Randall Poling
- Walter Price III
All providers in Kenna, 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.