Ronnie Marcum

Individual provider Active NPI Home Health Aide · Wayne, WV

NPI 1629968763 · NPPES record last updated Jul 9, 2025

Key facts

NPI
1629968763
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
23620 E Lynn Rd
Wayne, WV 25570-5359
Phone
(740) 319-4428
NPI assigned
Jul 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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

23620 E Lynn Rd
Wayne, WV 25570-5359

Mailing address

109 Pinehurst Dr.
Huntington, WV 25704

Other providers in Wayne, WV

All providers in Wayne, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.