JUSTIN HENDERSON
NPI 1902493885
Adult Companion in Charleston, WV

Q: What is the provider's specialty?

The provider's specialty is Adult Companion with taxonomy code 372600000X.

Active since December 28, 2020

1420 KANAWHA BLVD W, CHARLESTON, WV 25387(304) 344-3403(304) 414-0157 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Justin Henderson NPPES

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

JUSTIN HENDERSON (NPI 1902493885) is an individual adult companion provider in Charleston, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1902493885

Entity TypeIndividualMale

Primary Taxonomy372600000X

Provider Legal NameJUSTIN HENDERSON

Location Address1420 KANAWHA BLVD WCharleston, WV 25387-2537

Mailing Address1420 Kanawha Blvd WCharleston, WV 25387-2537 · (304) 344-3403 · Fax (304) 414-0157

Phone(304) 344-3403

Fax(304) 414-0157

Sole ProprietorNo

Enumeration DateDecember 28, 2020

NPPES CertifiedDecember 28, 2020

✔ NPI 1902493885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

1420 KANAWHA BLVD W, Charleston, WV 25387

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