Healthcare Provider Details

I. General information

NPI: 1992486344
Provider Name (Legal Business Name): JANA MCCROBIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 MORGANTOWN AVE STE 120
FAIRMONT WV
26554-4384
US

IV. Provider business mailing address

32 SUNRISE DR
MORGANTOWN WV
26508-1318
US

V. Phone/Fax

Practice location:
  • Phone: 304-363-7375
  • Fax: 304-471-2488
Mailing address:
  • Phone: 304-276-4852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: