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JERRY ANDERSON
NPI 1215549373
Technician - Personal Care Attendant in Logan, WV

Active since August 20, 2020
3061 OLD LOGAN RD, LOGAN, WV 25601(304) 687-7783 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Anderson NPPES

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

JERRY ANDERSON (NPI 1215549373) is an individual personal care attendant in Logan, West Virginia and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1215549373
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJERRY ANDERSON
Location Address3061 OLD LOGAN RDLogan, WV 25601-3367
Mailing Address3061 Old Logan RdLogan, WV 25601-3367 · (304) 687-7783
Phone(304) 687-7783
Sole ProprietorNo
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1215549373 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
3061 OLD LOGAN RD, Logan, WV 25601
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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 Jerry Anderson's NPI number?

The NPI number for Jerry Anderson is 1215549373. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Jerry Anderson located?

Jerry Anderson practices at 3061 Old Logan Rd, Logan, WV 25601. The listed phone number is (304) 687-7783.

What is Jerry Anderson'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 Jerry Anderson was last updated on August 20, 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.