Jared Paul McCrobie
Individual provider Active NPI Personal Care Attendant · Thornton, WV
NPI 1558075648 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1558075648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 188H Bolyard Rd
Thornton, WV 26440 - Phone
- (304) 641-2817
- NPI assigned
- Jan 12, 2023
- Sex
- Male
- 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
188H Bolyard Rd
Thornton, WV 26440
Mailing address
188H Bolyard Rd
Thornton, WV 26440
Phone (304) 641-2817
Other providers in Thornton, WV
- Jennifer Jennings
- L&B Dental, PLLC
- Andrea Denise Lopez
- Lorn a Wolfe
- Molly McCartney
- Mountaineer Family Care Center
- Lisa Moyer
- Karen L Rutherford
- Thelma Ruth Sager
- Chaelyn Shahan
All providers in Thornton, 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 12, 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.