Wilson Gene Evans
Individual provider Active NPI Personal Care Attendant · Man, WV
NPI 1124820253 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1124820253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 9036 Gardenia Lane
Man, WV 25630 - Phone
- (304) 733-1094
- NPI assigned
- Mar 27, 2025
- Sex
- Male
- 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
9036 Gardenia Lane
Man, WV 25630
Mailing address
9036 Gardenia Lane
Man, WV 25630
Other providers in Man, WV
- Connie Dale Cook II
- Haley Crum
- Terri D Doss
- Taylor Duncan
- Jonathan Matthew Ellis
- Faithful Works Homecare LLC
- Family Healthcare Associates Inc
- Crystal Dawn Gibson
- Elizabeth Brook Hannah Gibson
- Stephanie Goble
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 Mar 27, 2025. 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.