Connie Mae Gaston
Individual provider Active NPI Personal Care Attendant · Cairo, WV
NPI 1164037867 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1164037867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 956 Main St
Cairo, WV 26337-6656 - Phone
- (304) 422-5320
- NPI assigned
- Sep 10, 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
956 Main St
Cairo, WV 26337-6656
Mailing address
956 Main St
Cairo, WV 26337-6656
Phone (304) 422-5320
Other providers in Cairo, WV
- Linda Britton
- Cairo Volunteer Fire Dept
- Benita Dennison
- Georgia Gail Hardbarger
- Joyce E Hinton
- Samantha Hornish
- Jason Jones
- Carol L Layfield
All providers in Cairo, 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 Sep 10, 2020. 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.