Caleb Boggs

Individual provider Active NPI Personal Care Attendant · Mount Nebo, WV

NPI 1730983552 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1730983552
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
785 Summersville Lake Rd
Mount Nebo, WV 26679-9203
Phone
(304) 883-2334
NPI assigned
Apr 2, 2025
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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

785 Summersville Lake Rd
Mount Nebo, WV 26679-9203

Mailing address

PO Box 569
Mount Nebo, WV 26679-0569
Phone (304) 883-2334

Other providers in Mount Nebo, WV

All providers in Mount Nebo, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.