JOHNATHAN MOORE
NPI 1912595562
Technician - Personal Care Attendant in Clay, WV

Active since January 08, 2021
172 MAIN STREET, CLAY, WV 25043(304) 587-4251 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Johnathan Moore NPPES

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

JOHNATHAN MOORE (NPI 1912595562) is an individual personal care attendant in Clay, West Virginia and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1912595562
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJOHNATHAN MOORE
Location Address172 MAIN STREETClay, WV 25043-2504
Mailing AddressPo Box 655Clay, WV 25043-0655
Sole ProprietorNo
Enumeration DateJanuary 8, 2021
NPPES CertifiedDecember 30, 2020
✔ NPI 1912595562 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
172 MAIN STREET, Clay, WV 25043

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.

Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043
Technician (Personal Care Attendant)
172 MAIN STREET
CLAY, WV 25043

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 Johnathan Moore's NPI number?

The NPI number for Johnathan Moore is 1912595562. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Johnathan Moore located?

Johnathan Moore practices at 172 Main Street, Clay, WV 25043. The listed phone number is (304) 587-4251.

What is Johnathan Moore'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 Johnathan Moore was last updated on January 8, 2021. 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.