Healthcare Provider Details

I. General information

NPI: 1740298355
Provider Name (Legal Business Name): PANHANDLE SUPPORT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6441 FARMDALE RD
BARBOURSVILLE WV
25504-1305
US

IV. Provider business mailing address

2227 CHAPLINE ST
WHEELING WV
26003-3842
US

V. Phone/Fax

Practice location:
  • Phone: 304-453-4992
  • Fax: 304-453-5574
Mailing address:
  • Phone: 304-242-9145
  • Fax: 304-242-6965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EVAN BRADLEY WORRELL
Title or Position: EXECUTIVE DIRECTOR OF OPERATIONS
Credential:
Phone: 304-242-9145