Active NPI
Panhandle Support Services, Inc.
- In Home Supportive Care Agency
- Barboursville, WV
National Provider Identifier
1295091775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031018000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Panhandle Support Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Barboursville, WV
- NPI 1275388670
-
- In Home Supportive Care Agency
- Barboursville, WV
- NPI 1740298355
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.