Lyndsay Gross

Individual provider Active NPI Home Health Aide · Shady Spring, WV

NPI 1598564478 · NPPES record last updated Mar 12, 2025

Key facts

NPI
1598564478
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
116 1/2 Farnham LN
Shady Spring, WV 25918-8545
Phone
(304) 890-2462
NPI assigned
Mar 12, 2025
Sex
Female
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

116 1/2 Farnham LN
Shady Spring, WV 25918-8545

Mailing address

116 1/2 Farnham LN
Shady Spring, WV 25918-8545

Other providers in Shady Spring, WV

All providers in Shady Spring, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.