Provider Demographics
NPI:1407725757
Name:EADS, ROBIN
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:EADS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 PLEASANT HILL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26133-8242
Mailing Address - Country:US
Mailing Address - Phone:304-580-9566
Mailing Address - Fax:
Practice Address - Street 1:779 PLEASANT HILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:WV
Practice Address - Zip Code:26133-8242
Practice Address - Country:US
Practice Address - Phone:304-580-9566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide