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ETHAN BRADLEY IMBODEN
NPI 1104761543
Technician - Personal Care Attendant in Monongah, WV

Active since April 22, 2026
525 CAMDEN AVE, MONONGAH, WV 26554(304) 816-2780 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Bradley Imboden NPPES

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

ETHAN BRADLEY IMBODEN (NPI 1104761543) is an individual personal care attendant in Monongah, West Virginia and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1104761543
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameETHAN BRADLEY IMBODEN
Location Address525 CAMDEN AVEMonongah, WV 26554-1104
Mailing Address525 Camden AveMonongah, WV 26554-1104 · (304) 816-2780
Phone(304) 816-2780
Sole ProprietorNo
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1104761543 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
525 CAMDEN AVE, Monongah, WV 26554
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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 Ethan Imboden's NPI number?

The NPI number for Ethan Imboden is 1104761543. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Ethan Imboden located?

Ethan Imboden practices at 525 Camden Ave, Monongah, WV 26554. The listed phone number is (304) 816-2780.

What is Ethan Imboden'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 Ethan Imboden was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.