SHANE EUGENE RILEY (NPI# 1871192526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871192526 |
| Entity Type | Individual |
| Full Name | SHANE EUGENE RILEY |
| Practice Address |
5233 Apple Harvest Dr Gerrardstown WV 25420-4136 |
| Practice Telephone | 3048215725 |
| Mailing Telephone | 3048215725 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| 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 |
5233 APPLE HARVEST DR |
| City | GERRARDSTOWN |
| State | WV |
| Zip Code | 25420-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152106 | Cindy Smith | Technician | 5233 Apple Harvest Dr, Gerrardstown, WV 25420-4136 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396073391 | Anita R. Parsons-hartman | Counselor | 351 Parkinson Rd, Gerrardstown, WV 25420 | 2009-12-02 |
| 1164891354 | Cherie Despain | Behavioral Analyst | 818 Possum Hollow Trl, Gerrardstown, WV 25420-3149 | 2015-09-18 |
| 1073128948 | William Parsons | Technician | 136 Horseback Trl, Gerrardstown, WV 25420-4222 | 2020-09-09 |
| 1518566165 | Mckenna Elise Fuston | Technician | 248 Basil Ln, Gerrardstown, WV 25420-4295 | 2020-10-23 |
| 1831564459 | Rebecca Ciszek | Occupational Therapist | 192 Byron Rd, Gerrardstown, WV 25420-4594 | 2015-12-08 |
| 1114538014 | Sally Bare | Technician | 43 Guthrie Ln, Gerrardstown, WV 25420-6500 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566165 | Mckenna Elise Fuston | Technician | 248 Basil Ln, Gerrardstown, WV 25420-4295 | 2020-10-23 |
| 1073128948 | William Parsons | Technician | 136 Horseback Trl, Gerrardstown, WV 25420-4222 | 2020-09-09 |
| 1114538014 | Sally Bare | Technician | 43 Guthrie Ln, Gerrardstown, WV 25420-6500 | 2020-08-13 |
| 1831564459 | Rebecca Ciszek | Occupational Therapist | 192 Byron Rd, Gerrardstown, WV 25420-4594 | 2015-12-08 |
| 1164891354 | Cherie Despain | Behavioral Analyst | 818 Possum Hollow Trl, Gerrardstown, WV 25420-3149 | 2015-09-18 |
| 1396073391 | Anita R. Parsons-hartman | Counselor | 351 Parkinson Rd, Gerrardstown, WV 25420 | 2009-12-02 |
| 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 |
|---|---|---|---|---|
| 1518566165 | Mckenna Elise Fuston | Technician | 248 Basil Ln, Gerrardstown, WV 25420-4295 | 2020-10-23 |
| 1073128948 | William Parsons | Technician | 136 Horseback Trl, Gerrardstown, WV 25420-4222 | 2020-09-09 |
| 1114538014 | Sally Bare | Technician | 43 Guthrie Ln, Gerrardstown, WV 25420-6500 | 2020-08-13 |
| 1477152106 | Cindy Smith | Technician | 5233 Apple Harvest Dr, Gerrardstown, WV 25420-4136 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| City | GERRARDSTOWN |
| Zip Code | 25420 |
Please comment or provide details below to improve the information on SHANE EUGENE RILEY.
| 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.