James David Roark
Individual provider Active NPI Personal Care Attendant · Logan, WV
NPI 1013519792 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1013519792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 258 Snap Branch Rd
Logan, WV 25601-3270 - Phone
- (304) 896-1524
- NPI assigned
- Nov 9, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
258 Snap Branch Rd
Logan, WV 25601-3270
Mailing address
258 Snap Branch Rd
Logan, WV 25601-3270
Phone (304) 896-1524
Other providers in Logan, WV
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- Timothy M Reed
- Renewed Hope Counseling PLLC
- Andrea Marie Reynolds
- Cassandra Richardson
- Herbert Alan Roberrts III
- Rafael Modesto Rodighiero
- Terri Lynn Rodighiero
- Jeremiah Sidney Romans
- Ghazala Quddus Roopani
All providers in Logan, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.