Rebecca Blacka
Individual provider Active NPI Home Health Aide · Keyser, WV
NPI 1962294702 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1962294702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1280 Terri St
Keyser, WV 26726-2118 - Phone
- (304) 359-1188
- NPI assigned
- May 19, 2025
- Sex
- Female
- 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
1280 Terri St
Keyser, WV 26726-2118
Mailing address
1280 Terri St
Keyser, WV 26726-2118
Other providers in Keyser, WV
- Kristen Nicole Biggs
- Bilal a Itani MD PLLC
- Kimberly Dawn Bitner
- Shawnie Nikole Bittinger
- Katherine Black
- Shannon Blacka
- Ariel Blackburn
- Elena Blanchek
- Brianna Jean Blizzard
- Rayma Jean Blizzard
All providers in Keyser, 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 19, 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.