Jacqueline Hayes
Individual provider Active NPI Respite Care · Poca, WV
NPI 1245822014 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1245822014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Respite Care 385H00000X
- Practice address
- 1611 Charleston Rd
Poca, WV 25159-2515 - Phone
- (304) 769-8077
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Respite Care | 385H00000X | Yes |
Addresses
Primary practice location
1611 Charleston Rd
Poca, WV 25159-2515
Mailing address
860 Windwood Rd
Hurricane, WV 25526-7422
Other providers in Poca, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. 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.