Jade Maddisyn Collins
Individual provider Active NPI Personal Care Attendant · Man, WV
NPI 1104743905 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1104743905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 309 Market St Apt 4
Man, WV 25635-1341 - Phone
- (681) 591-0003
- NPI assigned
- Jul 1, 2026
- Sex
- Female
- 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
309 Market St Apt 4
Man, WV 25635-1341
Mailing address
309 Market St Apt 4
Man, WV 25635-1341
Phone (681) 591-0003
Other providers in Man, WV
- Suthipan Chevy
- Alice Childers
- Donna Lee Clark
- Shawn E Cline-Riggins
- Angel Dawn Collins
- Misty Linville Collins
- Community Health Foundation
- Community Health Foundation
- Community Health Foundation
- Community Health Foundation
All providers in Man, 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 Jul 1, 2026. 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.