Greta Cochran
Individual provider Active NPI Personal Care Attendant · Kenna, WV
NPI 1083112593 · NPPES record last updated Jan 30, 2018
Key facts
- NPI
- 1083112593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1793 Young Hollow Rd
Kenna, WV 25248 - Phone
- (304) 532-5193
- NPI assigned
- Jan 30, 2018
- 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
1793 Young Hollow Rd
Kenna, WV 25248
Mailing address
1793 Young Hollow Rd
Kenna, WV 25248
Phone (304) 532-5193
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G20033904000 | Other | PROVIDER ID |
Other providers in Kenna, WV
- Clayton Bays
- Janet Sue Boggess
- Natalie Campbell
- Pamela Sue Campbell
- Bridget Carr
- Kristabelle Steven Collins
- Kierstyn Jade Davis
- Heather Leweise Elliott
- Lisa Elmore
- Angel Estep
All providers in Kenna, 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 Jan 30, 2018. 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.