Healthcare Provider Details

I. General information

NPI: 1912836339
Provider Name (Legal Business Name): CINDY A PEEPLES
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 SENIOR CENTER DR
SUTTON WV
26601-9581
US

IV. Provider business mailing address

23 SENIOR CENTER DR
SUTTON WV
26601-9581
US

V. Phone/Fax

Practice location:
  • Phone: 304-765-4090
  • Fax: 304-765-4095
Mailing address:
  • Phone: 304-765-4090
  • Fax: 304-765-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: