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NICKOLLE LYNN MACK
NPI 1841893096
Technician - Personal Care Attendant in Elizabeth, WV

Active since November 19, 2020
74 SENIOR CIRCLE, ELIZABETH, WV 26143(304) 275-3158(304) 275-4631 Get Directions Write a Review

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

About Nickolle Lynn Mack NPPES

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

NICKOLLE LYNN MACK (NPI 1841893096) is an individual personal care attendant in Elizabeth, West Virginia and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1841893096
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameNICKOLLE LYNN MACK
Location Address74 SENIOR CIRCLEElizabeth, WV 26143-2614
Mailing AddressPo Box 370Elizabeth, WV 26143-0370 · (304) 275-3158 · Fax (304) 275-4631
Phone(304) 275-3158
Fax(304) 275-4631
Sole ProprietorNo
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1841893096 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

74 SENIOR CIRCLE, Elizabeth, WV 26143
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Other Providers at the Same Location NPPES 20

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

WIRT COUNTY COMMITTEE ON AGING & FAMILY SERVICES, INC.
In Home Supportive Care
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158
PATRICIA ANN BROGDON
Homemaker
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158
SARAH LEA PHILLIPS
Homemaker
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158
JOY JENKINS
Homemaker
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158
TELINA GAYLE SAMPLES
Homemaker
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158
CRYSTAL GAYLE ROBERTS
Homemaker
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158
EUGENIA HANEY
Homemaker
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158
JEANNA MILLER
Homemaker
74 SENIOR CIRCLE
ELIZABETH, WV 26143
Wirt County (304) 275-3158

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 Nickolle Mack's NPI number?

The NPI number for Nickolle Mack is 1841893096. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Nickolle Mack located?

Nickolle Mack practices at 74 Senior Circle, Elizabeth, WV 26143. The listed phone number is (304) 275-3158.

What is Nickolle Mack'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 Nickolle Mack was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.