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TACY BOLEN
NPI 1851195069
Technician - Personal Care Attendant in Mullens, WV

Active since April 04, 2025
695 MOUNTAINEER HWY, MULLENS, WV 25882(304) 294-8800 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Apr 4, 2025 (2 updates tracked since 2025).

About Tacy Bolen NPPES

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

TACY BOLEN (NPI 1851195069) is an individual personal care attendant in Mullens, West Virginia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1851195069
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameTACY BOLEN
Location Address695 MOUNTAINEER HWYMullens, WV 25882-0255
Mailing Address695 Mountaineer HwyMullens, WV 25882-0255 · (304) 294-8800
Phone(304) 294-8800
Sole ProprietorNo
Enumeration DateApril 4, 2025
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1851195069 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
695 MOUNTAINEER HWY, Mullens, WV 25882
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Other Names 1

Former Name (1)Tracy Bryant

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.

JANET MATNEY
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800
LEEONNA FERGUSON
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800
ANDREA SHUMATE
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800
STORMY JO LAWLESS
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800
ROYCE SMITH
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800
CHEYANNE NICOLE GRAYBEAL
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800
MRS. STEPHANIE COZORT
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800
OCTIVIA WILSON
Technician (Personal Care Attendant)
695 MOUNTAINEER HWY
MULLENS, WV 25882
Wyoming County (304) 294-8800

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 Tacy Bolen's NPI number?

The NPI number for Tacy Bolen is 1851195069. It was assigned to this individual provider in the NPPES registry on April 4, 2025. The provider is also known as Tracy Bryant.

Where is Tacy Bolen located?

Tacy Bolen practices at 695 Mountaineer Hwy, Mullens, WV 25882. The listed phone number is (304) 294-8800.

What is Tacy Bolen'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 Tacy Bolen was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.