Angela Goff
Individual provider Active NPI Personal Care Attendant · Kopperston, WV
NPI 1518565720 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1518565720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 130 Row Hollow Rd.
Kopperston, WV 24854 - Phone
- (681) 334-5127
- NPI assigned
- Oct 12, 2020
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
130 Row Hollow Rd.
Kopperston, WV 24854
Mailing address
PO Box 892
Oceana, WV 24870-0892
Phone (681) 334-5127
Other providers in Kopperston, WV
- Eddie Carl Blankenship Jr.
- Alexis Paige Crouse
- Candi Renee Daugherty
- Melissa Ann Edwards
- Marilyn Saralee Hanshaw
- Lisa Harper
- Derquan J Manns
- Mason Miller
- Tiea Nicole Miller
All providers in Kopperston, 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 Jan 10, 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.