Beonca Bailey
Individual provider Active NPI Personal Care Attendant · Huntington, WV
NPI 1457136129 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1457136129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 10 6TH Ave W
Huntington, WV 25701-0028 - Phone
- (304) 525-8014
- NPI assigned
- Aug 30, 2023
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-312185 | ||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
10 6TH Ave W
Huntington, WV 25701-0028
Mailing address
10 6TH Ave W
Huntington, WV 25701-0028
Other providers in Huntington, WV
- Desiree Bailes
- James R Bailes Jr.
- Geri Beth Bailey-Skeens
- Russell Bailey-Spence
- Ashley D Bailey
- Bobbie Bailey
- Brian Patrick Bailey
- Caleb Bailey
- Caleb C Bailey
- Courtney Bailey
All providers in Huntington, 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 Dec 19, 2023. 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.