Eli Jacobs

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

46 Fleming LN
Wharton, WV 25208-9503

Phone

(304) 245-8124

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2020.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1164032231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FLEMING LN",
            "city": "WHARTON",
            "state": "WV",
            "postal_code": "252089503",
            "telephone_number": "304-245-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FLEMING LN",
            "city": "WHARTON",
            "state": "WV",
            "postal_code": "252089503",
            "telephone_number": "304-245-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ELI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sue Adams, PCA
• Tina Louise Cook, CAREGIVER
• Christy Ann Holstein, FNP-C
• Hygeia Facilities Foundation Inc
• Lincoln County Primary Care Center Inc
• Ira A. Morris, M.D.
• Shauni Paulson
• Susan Marie Pridemore

• All providers in Wharton, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.