Sophia Timbrook
Individual provider Active NPI Personal Care Attendant · Augusta, WV
NPI 1053907683 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1053907683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1077 Zion Church Rd
Augusta, WV 26704-2588 - Phone
- (304) 359-3659
- NPI assigned
- Dec 17, 2020
- Sex
- Female
- 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
1077 Zion Church Rd
Augusta, WV 26704-2588
Mailing address
411 Virginia Ave Ste a
Petersburg, WV 26847-1719
Phone (304) 250-4545
Other providers in Augusta, WV
- Karen S Stickley
- Patty Jean Stokes
- Crystle Alena Stump
- Ivy Ann Stump
- Lori Lea Sutphin
- Rachel Ann Twigg
- Sabrina Twigg
- Jenny Umstot
- Sarah Lea Vanmeter
- Jeannie Marie Voit
All providers in Augusta, 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 Dec 17, 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.