Healthcare Provider Details

I. General information

NPI: 1275426546
Provider Name (Legal Business Name): MELINDA ANN BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

566 MILL STREET
WEST MILFORD WV
26451
US

IV. Provider business mailing address

PO BOX 336
WEST MILFORD WV
26451-0336
US

V. Phone/Fax

Practice location:
  • Phone: 304-669-0991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: