Elizabeth Hartline
Individual provider Active NPI Home Health Aide · Montgomery, WV
NPI 1730058728 · NPPES record last updated Oct 30, 2025
Key facts
- NPI
- 1730058728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1414 Fayette Pike W
Montgomery, WV 25136-2329 - Phone
- (304) 981-2068
- NPI assigned
- Oct 30, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
1414 Fayette Pike W
Montgomery, WV 25136-2329
Mailing address
1414 Fayette Pike W
Montgomery, WV 25136-2329
Phone (304) 981-2068
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- Ghassan Y. Dagher
- Marie Isabel Timbayan Green
- Kristina Renae Hawkins
- Destiny Holden
- Valerie J Hughes
- Kaylah Marie Hunter
- Ignacio Z. Bernardo, Jr., D.D.S., Inc.
All providers in Montgomery, 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 Oct 30, 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.