MARJENNA MOORE (NPI# 1003417882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003417882 |
| Entity Type | Individual |
| Full Name | MARJENNA MOORE |
| Practice Address |
1408 Harrison Ave Elkins WV 26241-3325 |
| Mailing Address |
Rt 1 Box 62 Beverly WV 26253 |
| Practice Telephone | 3046364390 |
| Mailing Telephone | 3046147644 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1408 HARRISON AVE |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346456787 | Select In Home Services, Inc. | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2007-05-15 |
| 1912508854 | Juneta Spurlock | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1548861396 | Montana Armentrout | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1982205803 | Betty Moore | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1437750387 | Miriam Evans | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1841891751 | Samantha Underwood | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1669073425 | Shynna Casada | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1376144287 | Heather Sears | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1164023008 | Tonya Halterman | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-06 |
| 1386245447 | Brittany Mearns | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| 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 |
|---|---|---|---|---|
| 1275134397 | Loretta J Bertolini | Technician | 111 Southview Dr, Elkins, WV 26241-3231 | 2020-11-04 |
| 1700486495 | Rebecca Channell | Technician | Companion Care, 203 4th Street, Elkins, WV 26241-2624 | 2020-10-30 |
| 1497355200 | Mary Yokum | Technician | 745 Ferguson Rd, Elkins, WV 26241-5710 | 2020-10-30 |
| 1366042558 | Ashley Leary | Technician | 1728 Ward Rd, Elkins, WV 26241-7374 | 2020-10-28 |
| 1770183816 | Jamie White | Technician | 1086 Cravens Run Rd, Elkins, WV 26241-5020 | 2020-10-28 |
| 1154921344 | Shasta Overbaugh | Technician | 83 Randolph Village Ln, Elkins, WV 26241-1600 | 2020-10-28 |
| 1376143743 | Julia Baldwin | Technician | 41 Sutton St, Elkins, WV 26241-7463 | 2020-10-27 |
| 1962001537 | Marie Louselia Bennett | Technician | 22 Chief Dr, Elkins, WV 26241-5755 | 2020-10-23 |
| 1629677349 | Shynna Jane Everett | Technician | 67 Cherokee St, Elkins, WV 26241-4072 | 2020-10-23 |
| 1336748318 | Amanda Scott | Technician | 790 Teaberry Hills Ln, Elkins, WV 26241-5514 | 2020-10-21 |
| Find all providers in ELKINS | ||||
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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.