Healthcare Provider Details

I. General information

NPI: 1841155363
Provider Name (Legal Business Name): REBECCA SCHAAF
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 MORGANTOWN AVE STE 120
FAIRMONT WV
26554-4384
US

IV. Provider business mailing address

84 TOBACCO RD
RIVESVILLE WV
26588-9420
US

V. Phone/Fax

Practice location:
  • Phone: 304-363-7375
  • Fax:
Mailing address:
  • Phone: 304-612-0504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: