Organization Active NPI

Panhandle Support Services, Inc.

  • In Home Supportive Care Agency
  • Barboursville, WV
National Provider Identifier
1295091775
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PANHANDLE SUPPORT SERVICES, INC.
Practice address
6441 Farmdale Rd
Barboursville, WV 25504-1305
Phone
(304) 453-4992
Fax
(304) 453-5574
NPI assigned
Apr 9, 2012
Organization subpart
Yes
Parent organization
PERSONAL IN-HOME SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evan Bradley Worrell
Title
Senior Director of Operations
Phone
(304) 242-9145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6441 Farmdale Rd
Barboursville, WV 25504-1305

Mailing address

2177 National Rd
P.O. Box 3037
Wheeling, WV 26003-5238
Phone (304) 242-8404

Other identifiers 1

IdentifierTypeStateIssuer
0031018000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Panhandle Support Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1295091775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 NATIONAL RD",
            "address_2": "P.O. BOX 3037",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035238",
            "telephone_number": "304-242-8404",
            "fax_number": "304-242-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 FARMDALE RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041305",
            "telephone_number": "304-453-4992",
            "fax_number": "304-453-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE SUPPORT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSONAL IN-HOME SERVICES, INC.",
        "enumeration_date": "2012-04-09",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "304-242-9145"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031018000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.