Edward Allan

Individual provider Active NPI Personal Care Attendant · Millwood, WV

NPI 1174486740 · NPPES record last updated Dec 9, 2025

Key facts

NPI
1174486740
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
270 Jack Burlingame Dr
Millwood, WV 25262-8576
Phone
(307) 273-9311
NPI assigned
Dec 9, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Developmental Center, Inc Past
since Dec 14, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X WV Yes

Addresses

Primary practice location

270 Jack Burlingame Dr
Millwood, WV 25262-8576

Mailing address

270 Jack Burlingame Dr
Millwood, WV 25262-8576
Phone (304) 273-9311

Other providers in Millwood, WV

All providers in Millwood, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.