Individual provider Active NPI

Linda Kimberlin

  • Personal Care Attendant
  • Prichard, WV
National Provider Identifier
1467055640
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
22 Big Hurricane Rd.
Prichard, WV 25555
Phone
(304) 416-0210
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 WV Primary

Addresses

Primary practice location

22 Big Hurricane Rd.
Prichard, WV 25555

Mailing address

612 Virginia St E Ste 300
Charleston, WV 25301-2175
Phone (304) 343-1130

Other practice location 1

612 Virginia St E Ste 300
Charleston, WV 25301-2175
Phone (304) 343-1130

Other practice location 2

240 Big Hurricane Rd.
Prichard, WV 25555
Phone (304) 617-7843

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

Practice roles

OrganizationSpecialtyStatusNew patients
All-Aid Services, Inc. PastSince Nov 22, 2020 Accepting new patients
All-Aid Services, Inc. PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1467055640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 VIRGINIA ST E STE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012175",
            "telephone_number": "304-343-1130",
            "fax_number": "304-343-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BIG HURRICANE RD.",
            "city": "PRICHARD",
            "state": "WV",
            "postal_code": "25555",
            "telephone_number": "304-416-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Virginia St E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253012175",
            "country_code": "US",
            "telephone_number": "304-343-1130",
            "fax_number": "304-343-8944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Big Hurricane Rd.",
            "address_purpose": "LOCATION",
            "city": "Prichard",
            "state": "WV",
            "postal_code": "25555",
            "country_code": "US",
            "telephone_number": "304-617-7843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBERLIN",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prichard, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.