Shonda Lynn Moore
Individual provider Active NPI Personal Care Attendant · Grantsville, WV
NPI 1932796554 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1932796554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 105 Market St # 619
Grantsville, WV 26147-4700 - Phone
- (304) 354-7017
- NPI assigned
- Dec 29, 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
105 Market St # 619
Grantsville, WV 26147-4700
Mailing address
105 Market St # 619
Grantsville, WV 26147-4700
Phone (304) 354-7017
Other providers in Grantsville, WV
- Minnie Hamilton Health Care Center, Inc.
- Minnie Hamilton Health Care Center, Inc.
- Brandon Mollohan
- Amanda Marie Moneypenny
- Ariel Denise Mooney
- Andrea Morris
- Annetta Dawn Moss
- Donna Nichols
- Nickie Jean Nida
- Ashley Raine Noah
All providers in Grantsville, 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 29, 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.