Starsha Elizabeth Champ
Individual provider Active NPI Personal Care Attendant · Mathias, WV
NPI 1194328252 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1194328252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 643 White Fawn Rd
Mathias, WV 26812-8665 - Phone
- (304) 490-9164
- NPI assigned
- Nov 19, 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
643 White Fawn Rd
Mathias, WV 26812-8665
Mailing address
643 White Fawn Rd
Mathias, WV 26812-8665
Phone (304) 490-9164
Other providers in Mathias, WV
- Kandie Adolphson
- Tracey Ann Casteel
- Arthur J Cerami Jr.
- Brent Champ
- E.a. Hawse Health Center Inc.
- Tiffany Ashlea Fansler
- Joan Foltz
- Angel Foshee
- Michelle Dawn Funkhouser
All providers in Mathias, 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 Nov 19, 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.