Roberta Ann Mummert

Individual provider Active NPI Home Health Aide · Crawley, WV

NPI 1295623478 · NPPES record last updated Jun 25, 2025

Key facts

NPI
1295623478
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
1598 Henson Rd
Crawley, WV 24931-7160
Phone
(304) 992-4964
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

1598 Henson Rd
Crawley, WV 24931-7160

Mailing address

1598 Henson Rd
Crawley, WV 24931-7160

Other providers in Crawley, WV

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

Sources for this page

Verify at the official NPI Registry.