Active NPI
Johnna Paugh
- Home Health Aide
- Mill Creek, WV
National Provider Identifier
1710587720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 3747P1801X
- Practice address
- 301 McCall Run Rd
Mill Creek, WV 26280-1135 - Phone
- (304) 335-0561
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 3747P1801X | WV | Primary |
Addresses
Primary practice location
301 McCall Run Rd
Mill Creek, WV 26280-1135
Mailing address
27 Midway Loop
Elkins, WV 26241-1373
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3747P1801X | WV | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | 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 1
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.
-
- Personal Care Attendant
- Elkins, WV
- NPI 1033073150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1710587720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MIDWAY LOOP",
"city": "ELKINS",
"state": "WV",
"postal_code": "262411373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MCCALL RUN RD",
"city": "MILL CREEK",
"state": "WV",
"postal_code": "262801135",
"telephone_number": "304-335-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUGH",
"first_name": "JOHNNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WV",
"license": "3747P1801X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.