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CALEB WALLACE
NPI 1962124388
Technician - Personal Care Attendant in Cross Lanes, WV

Active since September 13, 2022
5512 BIG TYLER RD, CROSS LANES, WV 25313(304) 766-9830 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caleb Wallace NPPES

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

CALEB WALLACE (NPI 1962124388) is an individual personal care attendant in Cross Lanes, West Virginia and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1962124388
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameCALEB WALLACE
Location Address5512 BIG TYLER RDCross Lanes, WV 25313-1304
Mailing Address5512 Big Tyler RdCross Lanes, WV 25313-1304 · (304) 766-9830
Phone(304) 766-9830
Sole ProprietorNo
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1962124388 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
5512 BIG TYLER RD, Cross Lanes, WV 25313
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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.

KIMBERLY CLENDENIN
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CHARLESTON, WV 25313
Kanawha County (304) 766-9830
TIA MARIE THROCKMORTON
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
CONNIE SADLER
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
CALEY HASKINS
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CHARLESTON, WV 25313
Kanawha County (304) 766-9830
RORY CARROLL
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
JODI ROBERTS
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
ALYSSA SIZEMORE
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830
TRAVIS JOHNSON
Technician (Personal Care Attendant)
5512 BIG TYLER RD
CROSS LANES, WV 25313
Kanawha County (304) 766-9830

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 Caleb Wallace's NPI number?

The NPI number for Caleb Wallace is 1962124388. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Caleb Wallace located?

Caleb Wallace practices at 5512 Big Tyler Rd, Cross Lanes, WV 25313. The listed phone number is (304) 766-9830.

What is Caleb Wallace'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 Caleb Wallace was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.