Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountaineer Home Health, LLC

Organization Home Health Agency · NPI 1629101910

Mountaineer Home Health, LLC is a Home Health Agency in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

325 4th Ave Ste 5
South Charleston, WV 25303-1266
Phone: (304) 720-0205
Fax: (304) 720-0262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 90364 (WV)
Home Health Agency Taxonomy 251E00000X · Licence 2007-011,481 (WV)

Record details

NPI number1629101910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Kelly — Ceo · (304) 720-0205
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address325 4th Ave, Suite 5, South Charleston, WV 25303-1266

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