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DESTINY MAE BROADWATER
NPI 1073203287
Technician - Personal Care Attendant in Keyser, WV

Active since May 10, 2023
315 S E ST, KEYSER, WV 26726(304) 788-5467(304) 788-6363 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Mae Broadwater NPPES

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

DESTINY MAE BROADWATER (NPI 1073203287) is an individual personal care attendant in Keyser, West Virginia and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1073203287
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameDESTINY MAE BROADWATER
Location Address315 S E STKeyser, WV 26726-2324
Mailing Address315 S E StKeyser, WV 26726-2324 · (304) 788-5467 · Fax (304) 788-6363
Phone(304) 788-5467
Fax(304) 788-6363
Sole ProprietorNo
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1073203287 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
315 S E ST, Keyser, WV 26726
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Other Providers at the Same Location NPPES

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

CORBIN JOSIAH KESNER
Technician (Personal Care Attendant)
315 S E ST
KEYSER, WV 26726
Mineral County (304) 788-5467

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 Destiny Broadwater's NPI number?

The NPI number for Destiny Broadwater is 1073203287. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Destiny Broadwater located?

Destiny Broadwater practices at 315 S E St, Keyser, WV 26726. The listed phone number is (304) 788-5467.

What is Destiny Broadwater'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 Destiny Broadwater was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.