Richard Breedlove
Individual provider Active NPI Home Health Aide · Sod, WV
NPI 1861285447 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1861285447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 3 Light House Dr
Sod, WV 25564-9655 - Phone
- (304) 756-3761
- NPI assigned
- May 27, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
3 Light House Dr
Sod, WV 25564-9655
Mailing address
3 Light House Dr
Sod, WV 25564-9655
NPI Registry JSON
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1861285447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LIGHT HOUSE DR",
"city": "SOD",
"state": "WV",
"postal_code": "255649655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LIGHT HOUSE DR",
"city": "SOD",
"state": "WV",
"postal_code": "255649655",
"telephone_number": "304-756-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDLOVE",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sod, WV
All providers in Sod, 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 27, 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.