Robin Goodrich

Individual provider Active NPI Personal Care Attendant · Glenville, WV

NPI 1104413699 · NPPES record last updated Dec 30, 2020

Key facts

NPI
1104413699
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
279 Sycamore Rd Lot 15
Glenville, WV 26351-1085
Phone
(304) 462-0272
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
RSCR West Virginia, Inc. Past
since Jan 3, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

279 Sycamore Rd Lot 15
Glenville, WV 26351-1085

Mailing address

229 W Main St Ste 200
Clarksburg, WV 26301-2966
Phone (304) 622-0033

Other providers in Glenville, WV

All providers in Glenville, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.