Gregory Penn
Individual provider Active NPI Home Health Aide · Poca, WV
NPI 1851284665 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1851284665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 2 Truette St
Poca, WV 25159 - Phone
- (304) 380-8728
- NPI assigned
- May 30, 2025
- Sex
- Male
- 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
2 Truette St
Poca, WV 25159
Mailing address
PO Box 476
Poca, WV 25159-0476
Other providers in Poca, WV
- Skylar Dawn Orcutt
- Toni Ord
- Judy Painter
- Melissa Parsons
- Ray Parsons
- Gary R Pilkington
- James Richard Pleger
- Poca Valu-Rite, Inc
- Samantha Price
- Lindsey Rueckert
All providers in Poca, 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 May 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.