MARY SHAWN EDRA HADDOX
NPI 1629874821
In Home Supportive Care in Saint Marys, WV

Active since February 20, 2025
39 HADDOX HILL RD, SAINT MARYS, WV 26170(304) 299-1452 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mary Shawn Edra Haddox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SHAWN EDRA HADDOX (NPI 1629874821) is an individual in home supportive care provider in Saint Marys, West Virginia and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1629874821
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameMARY SHAWN EDRA HADDOX
Location Address39 HADDOX HILL RDSaint Marys, WV 26170-1271
Mailing Address39 Haddox Hill Rd # SaintwSaint Marys, WV 26170-1271 · (304) 299-1452
Sole ProprietorYes
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1629874821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
39 HADDOX HILL RD, Saint Marys, WV 26170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Shawn Haddox's NPI number?

The NPI number for Mary Shawn Haddox is 1629874821. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Where is Mary Shawn Haddox located?

Mary Shawn Haddox practices at 39 Haddox Hill Rd, Saint Marys, WV 26170. The listed phone number is (304) 299-1452.

What is Mary Shawn Haddox's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Shawn Haddox was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.