ITAI GRAVELY


Address: 1863 Sugar Creek Dr, Charleston, WV 25387-1344
Phone: 3048074803

ITAI GRAVELY (NPI# 1255941316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255941316
Entity Type Individual
Full Name ITAI GRAVELY
Practice Address 1863 Sugar Creek Dr
Charleston
WV 25387-1344
Practice Telephone 3048074803
Mailing Telephone 3048074803
Enumeration Date 2020-08-04
Last Update Date 2020-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 1863 SUGAR CREEK DR
City CHARLESTON
State WV
Zip Code 25387-1344

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679792493 Letitia Elaine Tierney Internal Medicine Familycare Health Center, 116 N. Hills Plaza, Charleston, WV 25387 2007-04-24
1285960856 Holly R. Murriner Physician Assistant 116 Hills Plz, Charleston, WV 25387 2009-11-02
1427661651 James Michael Adkins Technician 1029 Nease Dr, Charleston, WV 25387-1007 2020-08-27
1578964474 Resilience Home Care Services, LLC Home Health 3700 Washington St W, Charleston, WV 25387-1121 2014-09-10
1205448610 Christiana E Sovine Technician 3902 Washington St W, Charleston, WV 25387-1123 2020-08-18
1245841360 Nellie Mae Ford Technician 802 N Hills Dr, Charleston, WV 25387-1230 2020-08-12
1437513538 Paula Mooney Social Worker 862 Hanna Dr, Charleston, WV 25387-1402 2016-04-05
1952649071 Enact, Inc. Case Management 1701 5th Ave Ste 7, Charleston, WV 25387-1900 2013-01-24
1609045400 Womencare, Inc Clinic/Center 1701 5th Ave, Charleston, WV 25387-1900 2008-02-26
1457967200 Tameika M Mcneil Technician 113 Mcvey Way, Charleston, WV 25387-2168 2020-09-17
Find all providers in zip 25387

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568063402 Jovon Minimah-beane Technician 612 Virginia St E Ste 300, Charleston, WV 25301-2175 2020-11-06
1811598832 Jessica Nogoda Technician 1002 Hillcrest Dr E, Charleston, WV 25311-1612 2020-11-05
1245831221 Jeriaha Hall Technician 2511 Washington St E Apt C, Charleston, WV 25311-2316 2020-11-05
1679174957 Shasta Lashea Evans Technician 5916 Starling Dr, Charleston, WV 25306-6045 2020-11-04
1184225476 Darlene Lacy-carter Technician 1406 Milton Street, Charleston, WV 25311 2020-11-04
1851992135 Shonda Latoya Leach Technician 821 Westminister Way, Charleston, WV 25314-2015 2020-11-04
1265033559 Nancy Galvan Technician 4587 Kanawha State Forrest Dr., Charleston, WV 25314 2020-11-04
1093316424 Emma Mccloud Technician 710 Colony Dr., Charleston, WV 25314 2020-11-03
1760083190 Terri Lea James Technician 5810 Church Dr., Charleston, WV 25306 2020-11-03
1649871963 Sha'la Wright Technician 713 Orchard Street Apt. G, Charleston, WV 25302 2020-11-03
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25387

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Dataset Information

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.

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