Individual provider Active NPI

Nick Glavaris

  • Personal Care Attendant
  • Wheeling, WV
National Provider Identifier
1235710344
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
40 Suncrest Ave
Wheeling, WV 26003-6656
Phone
(304) 233-8889
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

40 Suncrest Ave
Wheeling, WV 26003-6656

Mailing address

748 McMechen St
Benwood, WV 26031-1100
Phone (304) 233-3747

Other identifiers 1

IdentifierTypeStateIssuer
1699896316MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aimee.rine@thementornetwork.com Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1235710344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MCMECHEN ST",
            "city": "BENWOOD",
            "state": "WV",
            "postal_code": "260311100",
            "telephone_number": "304-233-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUNCREST AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036656",
            "telephone_number": "304-233-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVARIS",
        "first_name": "NICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2026-08-09",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699896316",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aimee.rine@thementornetwork.com",
            "affiliation": "N",
            "endpointDescription": "PD Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "40 Suncrest Ave",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260036656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.