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CRYSTAL ROSE
NPI 1417804113
Technician - Personal Care Attendant in Camden On Gauley, WV

Active since March 12, 2026
470 POLECAT RD, CAMDEN ON GAULEY, WV 26208(304) 644-1530 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Rose NPPES

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

CRYSTAL ROSE (NPI 1417804113) is an individual personal care attendant in Camden On Gauley, West Virginia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1417804113
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameCRYSTAL ROSE
Location Address470 POLECAT RDCamden On Gauley, WV 26208-8705
Mailing Address501 Wilson LnElkins, WV 26241-5216 · (304) 636-9326
Phone(304) 644-1530
Sole ProprietorNo
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1417804113 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
470 POLECAT RD, Camden On Gauley, WV 26208
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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 Crystal Rose's NPI number?

The NPI number for Crystal Rose is 1417804113. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Crystal Rose located?

Crystal Rose practices at 470 Polecat Rd, Camden On Gauley, WV 26208. The listed phone number is (304) 644-1530.

What is Crystal Rose'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 Crystal Rose was last updated on March 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.