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SAMUEL GLEN HARRISON II
NPI 1003428426
Technician - Personal Care Attendant in Gandeeville, WV

Active since August 18, 2020
1034 CICERONE RD, GANDEEVILLE, WV 25243(304) 577-9145 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Glen Harrison Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL GLEN HARRISON II (NPI 1003428426) is an individual personal care attendant in Gandeeville, West Virginia and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1003428426
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameSAMUEL GLEN HARRISON II
Location Address1034 CICERONE RDGandeeville, WV 25243-8664
Mailing Address1034 Cicerone RdGandeeville, WV 25243-8664 · (304) 577-9145
Phone(304) 577-9145
Sole ProprietorNo
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
✔ NPI 1003428426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
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
1034 CICERONE RD, Gandeeville, WV 25243
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Harrison's NPI number?

The NPI number for Samuel Harrison is 1003428426. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Samuel Harrison located?

Samuel Harrison practices at 1034 Cicerone Rd, Gandeeville, WV 25243. The listed phone number is (304) 577-9145.

What is Samuel Harrison's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Samuel Harrison was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.