Richard Ray Wiley
Individual provider Active NPI Personal Care Attendant · Lundale, WV
NPI 1124954276 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1124954276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 38 Charm St
Lundale, WV 25630-5026 - Phone
- (304) 785-9480
- NPI assigned
- Jun 18, 2026
- 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
38 Charm St
Lundale, WV 25630-5026
Mailing address
38 Charm St
Lundale, WV 25630-5026
Phone (304) 785-9480
Other providers in Lundale, WV
All providers in Lundale, 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 Jun 18, 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.