Healthcare Provider Details

I. General information

NPI: 1164350401
Provider Name (Legal Business Name): CHENOA HUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 247
MADISON WV
25130-0247
US

IV. Provider business mailing address

16 JEFFREY ST
DANVILLE WV
25053-8083
US

V. Phone/Fax

Practice location:
  • Phone: 304-561-5256
  • Fax: 304-561-5256
Mailing address:
  • Phone: 304-579-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: