Sally Bare
Individual provider Active NPI Personal Care Attendant · Gerrardstown, WV
NPI 1114538014 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1114538014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 43 Guthrie LN
Gerrardstown, WV 25420-6500 - Phone
- (304) 886-3488
- NPI assigned
- Aug 13, 2020
- 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
43 Guthrie LN
Gerrardstown, WV 25420-6500
Mailing address
43 Guthrie LN
Gerrardstown, WV 25420-6500
Phone (304) 886-3488
Other providers in Gerrardstown, WV
- A Journey Case Management and Advocacy
- Penny Albright
- Molly Michelle Barthel
- Pamela Jean Burleson
- Zoe Abigail Capell
- Sandra K Capps
- Rebecca Ciszek
All providers in Gerrardstown, 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 9, 2021. 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.