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ELLIE LICON
NPI 1689271884
Technician - Personal Care Attendant in Harts, WV

Active since October 01, 2020
823 HOOVER FORK RD, HARTS, WV 25524(304) 855-9358 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellie Licon NPPES

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

ELLIE LICON (NPI 1689271884) is an individual personal care attendant in Harts, West Virginia and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1689271884
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameELLIE LICON
Location Address823 HOOVER FORK RDHarts, WV 25524-5453
Mailing Address823 Hoover Fork RdHarts, WV 25524-5453 · (304) 855-9358
Phone(304) 855-9358
Sole ProprietorNo
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1689271884 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
823 HOOVER FORK RD, Harts, WV 25524
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD HAGER
Technician (Personal Care Attendant)
823 HOOVER FORK RD
HARTS, WV 25524
Lincoln County (304) 855-9358

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 Ellie Licon's NPI number?

The NPI number for Ellie Licon is 1689271884. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Ellie Licon located?

Ellie Licon practices at 823 Hoover Fork Rd, Harts, WV 25524. The listed phone number is (304) 855-9358.

What is Ellie Licon'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 Ellie Licon was last updated on October 1, 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.