Beverly Graham
Individual provider Active NPI Home Health Aide · Scott Depot, WV
NPI 1588558985 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1588558985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 125 Village Dr
Scott Depot, WV 25560-9702 - Phone
- (304) 419-3994
- NPI assigned
- Jun 9, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
125 Village Dr
Scott Depot, WV 25560-9702
Mailing address
125 Village Dr
Scott Depot, WV 25560-9702
Other providers in Scott Depot, WV
- Annette Gaskins
- Ghareeb,DDS, PC
- Emily Henley Gibson
- Grace Ann Gibson
- Amanda Gooch
- Kayla Greene
- Dawn Lynn Grigsby
- Ashley R Grimmett
- Alexis Grose
- Stephanie Leigh Halpern
All providers in Scott Depot, 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 Jun 9, 2025. 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.