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MR. TIMOTHY MALCOM ROBERTSON PCA
NPI 1790290047
Technician - Personal Care Attendant in Fort Gay, WV

Active since December 08, 2017
184 BLACKLOG ROAD, FORT GAY, WV 25514(304) 272-6671 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Timothy Malcom Robertson Pca NPPES

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

MR. TIMOTHY MALCOM ROBERTSON PCA (NPI 1790290047) is an individual personal care attendant in Fort Gay, West Virginia and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1790290047
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. TIMOTHY MALCOM ROBERTSONCredential: PCA
Location Address184 BLACKLOG ROADFort Gay, WV 25514
Mailing Address184 Blacklog RoadFort Gay, WV 25514 · (304) 356-4562 · Fax (304) 558-4563
Phone(304) 272-6671
Sole ProprietorNo
Enumeration DateDecember 8, 2017
✔ NPI 1790290047 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
184 BLACKLOG ROAD, Fort Gay, WV 25514
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Other Identifiers 1

Other3810027474Provider Id

Other Providers at the Same Location NPPES

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

MRS. REBECCA JEAN ROBERTSON PCA
Technician (Personal Care Attendant)
184 BLACKLOG ROAD
FORT GAY, WV 25514
Wayne County (304) 272-6671

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 Timothy Robertson's NPI number?

The NPI number for Timothy Robertson is 1790290047. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Where is Timothy Robertson located?

Timothy Robertson practices at 184 Blacklog Road, Fort Gay, WV 25514. The listed phone number is (304) 272-6671.

What is Timothy Robertson'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 Timothy Robertson was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.