Summer Bandle

Individual provider Active NPI Home Health Aide · Wayne, WV

NPI 1265375430 · NPPES record last updated Apr 13, 2026

Key facts

NPI
1265375430
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
104 Palo Alto St
Wayne, WV 25570
Phone
(722) 469-6603
NPI assigned
Apr 13, 2026
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

104 Palo Alto St
Wayne, WV 25570

Mailing address

975 18TH PL
Vero Beach, FL 32960-5538

Other providers in Wayne, WV

All providers in Wayne, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.