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BRENDELL ROSEBE WALLER
NPI 1487268389
Technician - Personal Care Attendant in Prichard, WV

Active since September 08, 2020
198 BIG HURRICANE CK RD, PRICHARD, WV 25555(304) 393-3509 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2021, Sep 8, 2020 (2 updates tracked since 2020).

About Brendell Rosebe Waller NPPES

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

BRENDELL ROSEBE WALLER (NPI 1487268389) is an individual personal care attendant in Prichard, West Virginia and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1487268389
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameBRENDELL ROSEBE WALLER
Location Address198 BIG HURRICANE CK RDPrichard, WV 25555-4024
Mailing Address198 Big Hurricane Ck RdPrichard, WV 25555-4024 · (304) 393-3509
Phone(304) 393-3509
Sole ProprietorNo
Enumeration DateSeptember 8, 2020
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1487268389 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
198 BIG HURRICANE CK RD, Prichard, WV 25555
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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 Brendell Waller's NPI number?

The NPI number for Brendell Waller is 1487268389. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Brendell Waller located?

Brendell Waller practices at 198 Big Hurricane Ck Rd, Prichard, WV 25555. The listed phone number is (304) 393-3509.

What is Brendell Waller'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 Brendell Waller was last updated on June 23, 2021. 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.