Vada Mallow

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

130 Railroad Ave
Buckhannon, WV 26201-2465

Phone

(304) 516-1941

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1801643234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 SUGAR RUN RD",
            "city": "MONTROSE",
            "state": "WV",
            "postal_code": "262837095",
            "telephone_number": "681-465-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RAILROAD AVE",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012465",
            "telephone_number": "304-516-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOW",
        "first_name": "VADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Sue Malcolm
• Betty June Malcomb
• Kaylea Cherie Mallett
• Jedidiah Davidson Mallow
• Tisha Dawn Mallow
• Ruth A Marino
• Jessica Marks
• Kimberly Marks
• Rachel Lynn Marteney
• Samantha Marteney

• Home Health Aide in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Home Health Aide in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.