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JORGE MONDRAGON
NPI 1053913137
Technician - Personal Care Attendant in Mannington, WV

Active since November 12, 2020
311 PLUM RUN RD, MANNINGTON, WV 26582(304) 694-6423 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jorge Mondragon NPPES

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

JORGE MONDRAGON (NPI 1053913137) is an individual personal care attendant in Mannington, West Virginia and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1053913137
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJORGE MONDRAGON
Location Address311 PLUM RUN RDMannington, WV 26582-7279
Mailing Address311 Plum Run RdMannington, WV 26582-7279 · (304) 694-6423
Phone(304) 694-6423
Sole ProprietorYes
Enumeration DateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1053913137 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
311 PLUM RUN RD, Mannington, WV 26582
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Other Identifiers 1

Medicaid3046946423WV

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 Jorge Mondragon's NPI number?

The NPI number for Jorge Mondragon is 1053913137. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Jorge Mondragon located?

Jorge Mondragon practices at 311 Plum Run Rd, Mannington, WV 26582. The listed phone number is (304) 694-6423.

What is Jorge Mondragon'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 Jorge Mondragon was last updated on November 12, 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.