Rick Poling
Individual provider Active NPI Personal Care Attendant · Grantsville, WV
NPI 1407258148 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1407258148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- 10359463 (WV)
- Practice address
- 105 Market St.
Grantsville, WV 26147 - Phone
- (304) 354-7017
- Fax
- (304) 354-6859
- NPI assigned
- Sep 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10359463 | WV | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calhoun County Committee on Aging, Inc. | Past |
Accepting new patients | |
| Calhoun County Committee on Aging | Past | Accepting new patients | |
| Calhoun County Committee on Aging | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 10359463 | WV | Yes |
Addresses
Primary practice location
105 Market St.
Grantsville, WV 26147
Mailing address
PO Box 619
Grantsville, WV 26147-0619
Phone (304) 354-7017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030566000 | Medicaid | WV | |
| 0030566001 | Medicaid | WV |
Other providers in Grantsville, WV
- Ashley Raine Noah
- Jayda Skye Osborne
- Deborah Lynn Parsons
- Jimmy Parsons
- Carolyn Patterson
- Valerie Michelle Randolph
- Donna Richards
- Donna Richards
- Lydia Marie Richards
- Teresa D Ritchie
All providers in Grantsville, 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 25, 2014. 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.