GRACIE R COOK (NPI# 1144827742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144827742 |
Entity Type | Individual |
Full Name | GRACIE R COOK |
Practice Address |
3750 Mountaineer Highway Maben WV 25870 |
Mailing Address |
Po Box 835 Mullens WV 25882-0835 |
Practice Telephone | 3042945610 |
Practice Fax Number | 3042942040 |
Mailing Telephone | 3042945610 |
Mailing Fax Number | 3042942040 |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
Street Address |
3750 MOUNTAINEER HIGHWAY |
City | MABEN |
State | WV |
Zip Code | 25870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184231193 | Tammy Carol Burks | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-09-24 |
1235738048 | Hollie N Massie | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-22 |
1043819881 | Millie M Hatfield | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-22 |
1881293181 | Armanda T Green | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-19 |
1235737636 | Angel N Downing | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-16 |
1548868185 | Tracy R Dotson | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-15 |
1730787425 | Cassandra L Hall | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
1790383487 | Crystal G Zornes | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
1518565209 | Pamela D Lockhart | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
1922606623 | Leslie N Mullens | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225441165 | Integrated Resources, Inc. | Community/Behavioral Health | 3776 Mountaineer Highway, Maben, WV 25870-0000 | 2014-06-09 |
1316350259 | Integrated Resources, Inc. | Community/Behavioral Health | 3776 Mountaineer Highway, Maben, WV 25870-0000 | 2014-06-09 |
1669698700 | Integrated Resources, Inc. | Home Health | Route 54, Maben, WV 25870-0002 | 2007-04-17 |
1972785137 | Integrated Resources, Inc. | Community/Behavioral Health | Route 54, Maben, WV 25870-0002 | 2007-11-29 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184231193 | Tammy Carol Burks | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-09-24 |
1235738048 | Hollie N Massie | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-22 |
1043819881 | Millie M Hatfield | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-22 |
1881293181 | Armanda T Green | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-19 |
1235737636 | Angel N Downing | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-16 |
1548868185 | Tracy R Dotson | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-15 |
1730787425 | Cassandra L Hall | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
1790383487 | Crystal G Zornes | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
1518565209 | Pamela D Lockhart | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
1922606623 | Leslie N Mullens | Technician | 3750 Mountaineer Highway, Maben, WV 25870 | 2020-10-14 |
Find all providers in MABEN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.