Angel Bodkin

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1408 Harrison Ave
Elkins, WV 26241-3325

Phone

(304) 636-4390

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select in Home Services, Inc.

  • Personal Care Attendant
  • Elkins, WV
  • NPI 1346456787
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1003481912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 INDEPENDENCE DR",
            "city": "BRANDYWINE",
            "state": "WV",
            "postal_code": "268028642",
            "telephone_number": "304-668-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413325",
            "telephone_number": "304-636-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODKIN",
        "first_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Blizzard
• Abe Blue Jr.
• Walter C. Boardwine, DO
• Lyndsey Shae Boatwright
• Susan E Bobes, M.D.
• Holly Bodkin
• Kimberly Boggs
• Santana Boggs
• Yvonne Boggs
• Allison Bohon

• All providers in Elkins, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.