Jacy Hefner
Individual provider Active NPI Personal Care Attendant · Lindside, WV
NPI 1497533780 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1497533780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 8395 Seneca Trail South
Lindside, WV 24951 - Phone
- (304) 753-4384
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Council on Aging | Past |
Accepting new patients | |
| Monroe County Council on Aging Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
8395 Seneca Trail South
Lindside, WV 24951
Mailing address
PO Box 149
Lindside, WV 24951-0149
Other providers in Lindside, WV
- Lisa Ann Duggan
- Adelta Dunbar
- Charity D Englehart
- Amanda J Felton
- Karen Galford
- Stephanie Ray Helms
- Amanda Hoke
- Shela Hundley
- Alyssa Johnson
- Mary Elizabeth Kincaid
All providers in Lindside, WV · Personal Care Attendant 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 Sep 18, 2023. 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.