CHARLES DAVID WASHINGTON JR, (NPI# 1336790443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336790443 |
| Entity Type | Individual |
| Full Name | CHARLES DAVID WASHINGTON JR, |
| Practice Address |
1592 Gallia Road Glenwood WV 25520-1145 |
| Practice Telephone | 3044296741 |
| Mailing Telephone | 3044296741 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
1592 GALLIA ROAD |
| City | GLENWOOD |
| State | WV |
| Zip Code | 25520-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083129738 | Jennifer Laura Starkey | Technician | 10213 Guyan Creek Road, Glenwood, WV 25520 | 2017-12-04 |
| 1609381359 | Diane Marie Bonecutter | Technician | 2290 Hannan Trace Road, Glenwood, WV 25520 | 2017-12-04 |
| 1104426501 | Teresa Irene Chapman | Technician | 35 Nicely Rd, Glenwood, WV 25520-1116 | 2020-10-27 |
| 1326658386 | Carol Ann Chapman | Technician | 606 Hannan Trace Rd, Glenwood, WV 25520-9055 | 2020-08-05 |
| 1578176178 | Alannia June Mayes | Technician | 1354 Chandler Ridge Rd, Glenwood, WV 25520-9146 | 2020-08-25 |
| 1164032124 | Beverly J Chapman | Technician | 3764 Chandler Ridge Rd, Glenwood, WV 25520-9160 | 2020-08-05 |
| 1609489392 | Angela Annette Parker | Technician | 1202 Mccowan Branch Rd, Glenwood, WV 25520-9319 | 2020-08-24 |
| 1346420684 | Nikki Mclean Huff | Registered Nurse | Rr 1 Box 251c, Glenwood, WV 25520-9712 | 2007-11-04 |
| 1497360309 | Betty Sue Smith | Technician | 250 Heritage Ln, Glenwood, WV 25520-9752 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426501 | Teresa Irene Chapman | Technician | 35 Nicely Rd, Glenwood, WV 25520-1116 | 2020-10-27 |
| 1497360309 | Betty Sue Smith | Technician | 250 Heritage Ln, Glenwood, WV 25520-9752 | 2020-09-09 |
| 1578176178 | Alannia June Mayes | Technician | 1354 Chandler Ridge Rd, Glenwood, WV 25520-9146 | 2020-08-25 |
| 1609489392 | Angela Annette Parker | Technician | 1202 Mccowan Branch Rd, Glenwood, WV 25520-9319 | 2020-08-24 |
| 1326658386 | Carol Ann Chapman | Technician | 606 Hannan Trace Rd, Glenwood, WV 25520-9055 | 2020-08-05 |
| 1164032124 | Beverly J Chapman | Technician | 3764 Chandler Ridge Rd, Glenwood, WV 25520-9160 | 2020-08-05 |
| 1962027052 | Tammy Senn, LLC | Clinic/Center | 2996 Hobbs Rd, Glenwood, MD 21738-9731 | 2020-06-15 |
| 1831712660 | Hailey Marie Euerle | Registered Nurse | 1330 Minnesota Ave E, Glenwood, MN 56334-1917 | 2020-05-27 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1073135224 | Aperion Care Glenwood LLC | Durable Medical Equipment & Medical Supplies | 19330 South College Grove Ave, Glenwood, IL 60425 | 2020-05-11 |
| Find all providers in GLENWOOD | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980579 | Tammy Lea Squier | Technician | 52059 230th St, Glenwood, IA 51534-6017 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1003428475 | Kimberly Shreve | Technician | 100 Tallman Ave Apt 402, Elkins, WV 26241-3270 | 2020-08-18 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1366072852 | Delcina A Rogers | Technician | 202 Long Street, Parsons, WV 26287 | 2020-01-23 |
| 1316585938 | Katrina Myers | Technician | 192 Canaan Rd, Rock Cave, WV 26234-5853 | 2019-12-13 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1861038697 | Bonnie Jean Salyers | Technician | 275 Harts Creek Road #5, Verdunville, WV 25649 | 2019-11-27 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1497396121 | Amanda Carter | Technician | 1624 Beech St, Kenova, WV 25530 | 2019-10-03 |
| 1679114458 | Betty Bentley | Technician | 1588 Spring Valley Drive, Huntington, WV 25704 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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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.