OLIVIA CUSTER (NPI# 1093320970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093320970 |
| Entity Type | Individual |
| Full Name | OLIVIA CUSTER |
| Practice Address |
928 Mountain Heritage Estates Rd Augusta WV 26704-7500 |
| Practice Telephone | 3044969560 |
| Mailing Telephone | 3044969560 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| 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 |
928 MOUNTAIN HERITAGE ESTATES RD |
| City | AUGUSTA |
| State | WV |
| Zip Code | 26704-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366536 | Traci Heater | Technician | 141 Berry Dr, Augusta, WV 26704 | 2020-11-05 |
| 1104432954 | Sabrina Twigg | Technician | 475 Fairground Rd, Augusta, WV 26704 | 2020-09-17 |
| 1902416712 | Robin Lynn Brass | Technician | 200 Strawberry Lane, Augusta, WV 26704 | 2020-08-06 |
| 1427580984 | Lisa Boward | Physical Therapy Assistant | 407 Offutt School Road, Augusta, WV 26704 | 2017-04-03 |
| 1104215565 | Valerie Louise Potter | Licensed Practical Nurse | 4928 Ford Hill Road, Augusta, WV 26704 | 2015-01-22 |
| 1861790891 | Tina Maria Mays | Licensed Practical Nurse | Hc 71 Box 115m, Augusta, WV 26704 | 2011-02-28 |
| 1184235566 | Donald Lee Darr Jr. | Technician | 34 Unger Ln, Augusta, WV 26704-1228 | 2020-08-11 |
| 1851515373 | Augusta Volunteer Rescue Squad Inc | Ambulance | 16745 Northwestern Pike, Augusta, WV 26704-2605 | 2007-04-13 |
| 1427658137 | Jolinda Sirk | Technician | 316 Richmond Road, Augusta, WV 26704-2670 | 2020-10-30 |
| 1033717673 | Lillian Mae Wolfe | Technician | 1724 Pepper Ln, Augusta, WV 26704-2673 | 2020-10-15 |
| Find all providers in zip 26704 | ||||
| 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 |
|---|---|---|---|---|
| 1598366536 | Traci Heater | Technician | 141 Berry Dr, Augusta, WV 26704 | 2020-11-05 |
| 1427658137 | Jolinda Sirk | Technician | 316 Richmond Road, Augusta, WV 26704-2670 | 2020-10-30 |
| 1821698879 | Jeannie Marie Voit | Technician | 263 Voits Rd, Augusta, WV 26704-7263 | 2020-10-29 |
| 1164022299 | Pamela Smoot | Technician | 500 Aa Rogers Rd, Augusta, WV 26704-4046 | 2020-10-28 |
| 1730789009 | Julie Kay Bommarito | Technician | 730 Laverne Dr, Augusta, WV 26704-8330 | 2020-10-27 |
| 1386243707 | Deonta Banks | Technician | 95 N River Rd, Augusta, WV 26704-4508 | 2020-10-19 |
| 1659970929 | Savannah Fox | Technician | 296 Labella Dr, Augusta, WV 26704-8159 | 2020-10-19 |
| 1598363921 | Tara Billmeyer | Technician | 4035 Ash Ruckman Rd, Augusta, WV 26704-5221 | 2020-10-16 |
| 1033717673 | Lillian Mae Wolfe | Technician | 1724 Pepper Ln, Augusta, WV 26704-2673 | 2020-10-15 |
| 1225636277 | Marjorie Beatrice Jones | Technician | 723 Hazel Ln, Augusta, WV 26704-5331 | 2020-10-13 |
| Find all providers in AUGUSTA | ||||
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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.