OCTARRA HOLMAN
NPI 1568059285
Technician - Personal Care Attendant in Charleston, WV

Active since December 29, 2020
1204 EARLY ST, CHARLESTON, WV 25302(304) 545-2992 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Octarra Holman NPPES

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

OCTARRA HOLMAN (NPI 1568059285) is an individual personal care attendant in Charleston, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1568059285
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameOCTARRA HOLMAN
Location Address1204 EARLY STCharleston, WV 25302-1021
Mailing Address1204 Early StCharleston, WV 25302-1021 · (304) 545-2992
Sole ProprietorYes
Enumeration DateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
NPI 1568059285 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

1204 EARLY ST, Charleston, WV 25302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568059285, enumerated as an "individual" on December 29, 2020.

The provider is located at 1204 EARLY ST CHARLESTON, WV 25302 and the phone number is (304) 545-2992.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.