Individual provider Active NPI

Robert R Elbon Jr.

  • Home Health Registered Nurse
  • Elkins, WV
National Provider Identifier
1558633461
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
163WH0200X Issued in WV
Practice address
27 Midway Loop
Elkins, WV 26241-1373
Phone
(304) 704-6475
NPI assigned
Feb 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 163WH0200X WV Primary

Addresses

Primary practice location

27 Midway Loop
Elkins, WV 26241-1373

Mailing address

228 4TH St
Elkins, WV 26241-3839
Phone (304) 704-6475

Other identifiers 1

IdentifierTypeStateIssuer
V60.4OtherWVMEDICAID WAIVER PROGRAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
163WH0200XWVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Home Care Services LLC CurrentSince Dec 14, 2025 Accepting new patients
Mountaineer Home Care Services LLC Current Accepting new patients

Locations

27 Midway Loop
Elkins, WV 26241
Phone (304) 636-5252

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1558633461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 4TH ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413839",
            "telephone_number": "304-704-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MIDWAY LOOP",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411373",
            "telephone_number": "304-704-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBON",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-08",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "163WH0200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROGRAM",
            "identifier": "V60.4",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.