Brian McCormick
Individual provider Active NPI Home Health Aide · Letart, WV
NPI 1376396994 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1376396994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 5982 Tombleson Rd
Letart, WV 25253-9377 - Phone
- (740) 645-8717
- NPI assigned
- Apr 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
5982 Tombleson Rd
Letart, WV 25253-9377
Mailing address
5982 Tombleson Rd
Letart, WV 25253-9377
Other providers in Letart, WV
- Paul Hoffman
- Virginia Hoffman
- Brittany Holt
- Addison Hughes
- Margaret Elizabeth Keathley
- Robert Mossman
- Kayla Dawn Nicholas
- Wendy Oldaker
- Cory Satterfield-Nutter
- Leah Marie Shamblin
All providers in Letart, WV · Home Health Aide in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. 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.