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IDA MICHELLE BREEDEN
NPI 1023613106
Technician - Personal Care Attendant in Princton, WV

Active since December 04, 2020
600 TRENT STREET, PRINCTON, WV 24701(304) 425-7111(304) 425-1138 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, Dec 9, 2020, Dec 4, 2020 (3 updates tracked since 2020).

About Ida Michelle Breeden NPPES

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

IDA MICHELLE BREEDEN (NPI 1023613106) is an individual personal care attendant in Princton, West Virginia, licensed in West Virginia (1568796027) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1023613106
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameIDA MICHELLE BREEDEN
Location Address600 TRENT STREETPrincton, WV 24701
Mailing Address355 Bluefield AveBluefield, WV 24701-2883 · (304) 425-7111 · Fax (304) 425-1138
Phone(304) 425-7111
Fax(304) 425-1138
Sole ProprietorNo
Enumeration DateDecember 4, 2020
Last NPPES UpdateDecember 14, 20213 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1023613106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in WV · 1568796027
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
Also ListedHomemakerTaxonomy 376J00000X · License 1568796027 (WV)
600 TRENT STREET, Princton, WV 24701
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Other Names 1

Former Name (1)Ida Michelle Breeden

Other Identifiers 1

Medicaid55-6025355WV

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AITHER C DYE
Technician (Personal Care Attendant)
600 TRENT STREET
PRINCETON, WV 24701
Mercer County (304) 425-7111
DEBORAH DEAON CORDLE
Technician (Personal Care Attendant)
600 TRENT STREET
PRINCETON, WV 24701
Mercer County (304) 425-7111
ROBIN HOWINGTON
Technician (Personal Care Attendant)
600 TRENT STREET
PRINCETON, WV 24701
Mercer County (304) 425-7111
BRIANA HILL
Technician
600 TRENT STREET
PRINCETON, WV 24701
Mercer County (304) 425-7111
TONYA BETH GORDON
Technician (Personal Care Attendant)
600 TRENT STREET
PRINCETON, WV 24701
Mercer County (304) 425-7111
TAMMY WILLIAMS
Technician (Personal Care Attendant)
600 TRENT STREET
BLUEFIELD, WV 24701
Mercer County (304) 425-7111

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 Ida Breeden's NPI number?

The NPI number for Ida Breeden is 1023613106. It was assigned to this individual provider in the NPPES registry on December 4, 2020. The provider is also known as Ida Michelle Breeden.

Where is Ida Breeden located?

Ida Breeden practices at 600 Trent Street, Princton, WV 24701. The listed phone number is (304) 425-7111.

What is Ida Breeden'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 Ida Breeden was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.