Katlan Lucas
Individual provider Active NPI Home Health Aide · Wayne, WV
NPI 1770403263 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1770403263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 22930 E Lynn Rd
Wayne, WV 25570-5308 - Phone
- (681) 204-8408
- NPI assigned
- Jul 16, 2026
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
22930 E Lynn Rd
Wayne, WV 25570-5308
Mailing address
PO Box 901
Wayne, WV 25570-0901
Other providers in Wayne, WV
- Crystal Lee Kelley
- Christine Sanders Kelly
- Samantha Elizabeth Kienholz
- Bradley James Lambert
- Gary Lee Lockhart
- Kathie Lycans
- Alesia Marcum
- Ronnie Marcum
- Jessica Serene Martin
- Linda F May
All providers in Wayne, 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 Jul 16, 2026. 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.