Jennifer Lyn Greening

Individual provider Active NPI Personal Care Attendant · Millwood, WV

NPI 1265041529 · NPPES record last updated Jul 23, 2020

Key facts

NPI
1265041529
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
270 Jack Burlingame Dr
Millwood, WV 25262-8576
Phone
(304) 273-9311
Fax
(304) 273-5131
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
Yes

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 Aug 2, 2020
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

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jgreening@jcdcworks.com Health Information Exchange (HIE)

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.