Charles Michael Crow
Individual provider Active NPI Personal Care Attendant · Glen Easton, WV
NPI 1033701420 · NPPES record last updated Feb 7, 2021
Key facts
- NPI
- 1033701420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 10098 Fork Ridge Rd
Glen Easton, WV 26039-1420 - Phone
- (304) 845-5719
- NPI assigned
- Feb 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
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
10098 Fork Ridge Rd
Glen Easton, WV 26039-1420
Mailing address
10098 Fork Ridge Rd
Glen Easton, WV 26039-1420
Phone (304) 845-5719
Other providers in Glen Easton, WV
- Nancy Jane Anderson
- Mary Elizabeth Chambers
- Brittany Marie Dunlap
- Fork Ridge Community Volunteer Fire
- Robert Leasure
- Stephani Leasure
- Ashley Ann Lucey
All providers in Glen Easton, 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 Feb 7, 2021. 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.