MEDICARE: SARA ELISABETH SIMMONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1205440393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ELISABETH SIMMONS

Provider Business Mailing Address
First Line	:	RR 2 BOX 744
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559-9761
Country	:	US
Telephone Number	:	304-360-9502
Fax Number	:

Provider Business Practice Location Address
First Line	:	744 RT 2
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559-9761
Country	:	US
Telephone Number	:	304-360-9502
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2020
Last Update Date	:	05/10/2022

Similar Medicare Providers

1174903926 — RENEE ZELE-WILBER
Practice Location Address:

4030 FOOTVILLE RICHMOND RD
ROCK CREEK, OH
44084-9761

Practice Phone: 440-228-2217
Practice Fax:

1114749843 — KEN BELLER AC
Practice Location Address:

75 RED ROCK CROSSING RD
SEDONA, AZ
86336-9761

Practice Phone: 928-204-9232
Practice Fax: 928-204-9230

1942509856 — LINCOLN COUNTY PRIMARY CARE CENTER, INC
Practice Location Address:

5490 STATE ROUTE 10
SALT ROCK, WV
25559-9736

Practice Phone: 304-824-5806
Practice Fax: 304-824-5804

1609366798 — LEVI ROBERTS
Practice Location Address:

4779 GUYAN RIVER RD
SALT ROCK, WV
25559

Practice Phone: 304-733-1112
Practice Fax:

1427661016 — LEONARD RUSSELL LUCAS
Practice Location Address:

RR 1 BOX 350
SALT ROCK, WV
25559-9733

Practice Phone: 304-208-4920
Practice Fax:

1376146605 — CAYLA CLAIRE BOWEN
Practice Location Address:

3433 HINCHMAN BEND ROAD
SALT ROCK, WV
25559

Practice Phone: 681-204-5658
Practice Fax:

Directions to “ SARA ELISABETH SIMMONS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.