MEDICARE: SAMUEL W EVANS

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	:	1558162206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL W EVANS

Provider Business Mailing Address
First Line	:	411 BOSTICK AVE
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-5803
Country	:	US
Telephone Number	:	304-731-6893
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 BOSTICK AVE
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-5803
Country	:	US
Telephone Number	:	304-731-6893
Fax Number	:

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

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	03/20/2025

Similar Medicare Providers

1477412252 — JESSICA MARIE BOLEN
Practice Location Address:

117 BERO AVE
BECKLEY, WV
25801-6742

Practice Phone: 304-237-8267
Practice Fax:

1871228007 — MEAGAN JENNINGS OTR/L
Practice Location Address:

1769 ROBERT C BYRD DR
BECKLEY, WV
25801-8707

Practice Phone: 304-860-1048
Practice Fax:

1194684688 — ASHLEA SARGENT
Practice Location Address:

1614 S KANAWHA ST
BECKLEY, WV
25801-6239

Practice Phone: 304-255-1397
Practice Fax:

1023977410 — CRYSTAL BROOKS
Practice Location Address:

118 PETERS DR
BECKLEY, WV
25801-9352

Practice Phone: 304-237-2020
Practice Fax:

1629937859 — MAKALAH SINK
Practice Location Address:

139 LATTA CT
BECKLEY, WV
25801-8330

Practice Phone: 304-894-7409
Practice Fax:

1447119672 — MACOREY SINK
Practice Location Address:

139 LATTA CT
BECKLEY, WV
25801-8330

Practice Phone: 304-763-8585
Practice Fax:

Directions to “ SAMUEL W EVANS ” 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 © 2007-2026 (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.