Individual provider · Type 1 NPI

Ethan Bradley Imboden

Personal Care Attendant · Monongah, WV

NPI number 1104761543 Active

Practice location

525 Camden Ave
Monongah, WV 26554-1104

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: 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

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About NPI 1104761543

Ethan Bradley Imboden's National Provider Identifier is 1104761543, issued on Apr 22, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Monongah, WV. The record was last updated on Apr 22, 2026.