Timothy Joseph Harrah
Individual provider Active NPI Personal Care Attendant · Beaver, WV
NPI 1649876285 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1649876285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 712 Edwards LN
Beaver, WV 25813-8884 - Phone
- (304) 222-6461
- NPI assigned
- Dec 9, 2020
- 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
712 Edwards LN
Beaver, WV 25813-8884
Mailing address
712 Edwards LN
Beaver, WV 25813-8884
Phone (304) 222-6461
Other providers in Beaver, WV
- Rebecca Loise Halvorson
- Taylor Kay Hamm
- Tammy Lynn Hammontree
- April Delane Harold
- Stephanie Nicole Harper I
- Constance Harvey
- Emily Jay Harvey
- Bradlea Hayhurst
- Emily Heatherly
- William Hodges
All providers in Beaver, 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 9, 2020. 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.