LATEAYAH DAVIS
NPI 1104432541
Technician - Personal Care Attendant in South Charleston, WV

Active since September 21, 2020
4989 COLONIAL PARK DR, SOUTH CHARLESTON, WV 25309(304) 610-8929 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2022, Sep 22, 2020 (2 updates tracked since 2020).

About Lateayah Davis NPPES

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

LATEAYAH DAVIS (NPI 1104432541) is an individual personal care attendant in South Charleston, West Virginia and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1104432541
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameLATEAYAH DAVIS
Location Address4989 COLONIAL PARK DRSouth Charleston, WV 25309-2043
Mailing Address4989 Colonial Park DrSouth Charleston, WV 25309-2043 · (304) 610-8929
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
Last NPPES UpdateMay 9, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
NPI 1104432541 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

4989 COLONIAL PARK DR, South Charleston, WV 25309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104432541, enumerated as an "individual" on September 21, 2020.

The provider is located at 4989 COLONIAL PARK DR SOUTH CHARLESTON, WV 25309 and the phone number is (304) 610-8929.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.