Leanne Nicole Matherly

Individual provider Active NPI Home Health Aide · Given, WV

NPI 1740178367 · NPPES record last updated Jun 24, 2025

Key facts

NPI
1740178367
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
3092 Ghost Hollow Rd
Given, WV 25245-7205
Phone
(304) 761-0890
NPI assigned
Jun 24, 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

3092 Ghost Hollow Rd
Given, WV 25245-7205

Mailing address

3092 Ghost Hollow Rd
Given, WV 25245-7205

Other providers in Given, WV

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

Sources for this page

Verify at the official NPI Registry.