Samantha Nichole Hodge
Individual provider Active NPI Personal Care Attendant · Fort Gay, WV
NPI 1720787708 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1720787708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 40918 Route 52
Fort Gay, WV 25514-8070 - Phone
- (304) 733-1094
- NPI assigned
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
40918 Route 52
Fort Gay, WV 25514-8070
Mailing address
40918 Route 52
Fort Gay, WV 25514-8070
Other providers in Fort Gay, WV
- Caitlin Grace
- Cassandra Ireland Hamilton
- Donna Hardy
- Angela Harper
- Tiffany Hermann
- Brynna Hooser
- Sheila Hooser
- Veronica Lynn Jackson
- Danny Ernest Jude Jr.
- Marina Gail Jude
All providers in Fort Gay, WV · Personal Care Attendant 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 Feb 28, 2023. 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.