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BROOKLYN R BLACK
NPI 1295406544
Technician - Personal Care Attendant in Petersburg, WV

Active since September 27, 2021
111 VIRGINIA AVE, PETERSBURG, WV 26847(304) 257-1666 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooklyn R Black NPPES

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

BROOKLYN R BLACK (NPI 1295406544) is an individual personal care attendant in Petersburg, West Virginia and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1295406544
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameBROOKLYN R BLACK
Location Address111 VIRGINIA AVEPetersburg, WV 26847-1713
Mailing Address111 Virginia AvePetersburg, WV 26847-1713 · (304) 257-1666
Phone(304) 257-1666
Sole ProprietorNo
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
✔ NPI 1295406544 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
111 VIRGINIA AVE, Petersburg, WV 26847
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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.

TIARA ELIZABETH REDMAN
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666
CAROLYN WELLS
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666
SHERRI LYNN CRITES
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666
MADDISON CHAMP
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666
DEBORAH A BERG
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666
MARYANN AMSALLEN
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666
TARA M BERG
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666
MICHELLE M WRATCHFORD
Technician (Personal Care Attendant)
111 VIRGINIA AVE
PETERSBURG, WV 26847
Grant County (304) 257-1666

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 Brooklyn Black's NPI number?

The NPI number for Brooklyn Black is 1295406544. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Brooklyn Black located?

Brooklyn Black practices at 111 Virginia Ave, Petersburg, WV 26847. The listed phone number is (304) 257-1666.

What is Brooklyn Black'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 Brooklyn Black was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.