Christina Chism

Individual provider Active NPI Personal Care Attendant · South Charleston, WV

NPI 1104750462 · NPPES record last updated Jun 11, 2026

Key facts

NPI
1104750462
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
144 7TH Ave
South Charleston, WV 25303-1452
Phone
(304) 744-4081
Fax
(304) 744-8606
NPI assigned
Jun 11, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

144 7TH Ave
South Charleston, WV 25303-1452

Mailing address

144 7TH Ave
South Charleston, WV 25303-1452
Phone (304) 744-4081

Other providers in South Charleston, WV

All providers in South Charleston, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.