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CONNIE DARLENE FORMAN
NPI 1154259810
Technician - Personal Care Attendant in Kingwood, WV

Active since May 12, 2026
108 SENIOR CENTER DRIVE, KINGWOOD, WV 26537(304) 329-0464(304) 276-3672 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Connie Darlene Forman NPPES

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

CONNIE DARLENE FORMAN (NPI 1154259810) is an individual personal care attendant in Kingwood, West Virginia and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1154259810
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameCONNIE DARLENE FORMAN
Location Address108 SENIOR CENTER DRIVEKingwood, WV 26537-0010
Mailing AddressPo Box 10Kingwood, WV 26537-0010 · (304) 329-0464
Phone(304) 329-0464
Fax(304) 276-3672
Sole ProprietorNo
Enumeration DateMay 12, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1154259810 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
108 SENIOR CENTER DRIVE, Kingwood, WV 26537
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Other Providers at the Same Location NPPES 20

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

EDITH REVELES
Technician (Personal Care Attendant)
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464
KATHY YOUNG
Technician (Personal Care Attendant)
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464
ROSALITA TRIBETT
Technician (Personal Care Attendant)
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464
KELLY TASKER
Technician (Personal Care Attendant)
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464
SHARON LOUISE MORAN
Registered Nurse
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464
AMY SWANGER
Technician (Personal Care Attendant)
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464
DONNA HAWKINS
Technician (Personal Care Attendant)
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464
MRS. PATTY HEBB
Technician (Personal Care Attendant)
108 SENIOR CENTER DRIVE
KINGWOOD, WV 26537
Preston County (304) 329-0464

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 Connie Forman's NPI number?

The NPI number for Connie Forman is 1154259810. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Connie Forman located?

Connie Forman practices at 108 Senior Center Drive, Kingwood, WV 26537. The listed phone number is (304) 329-0464.

What is Connie Forman'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 Connie Forman was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.