Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Malcomb

Individual provider Personal Care Attendant · NPI 1104756642

Ethan Malcomb is a Personal Care Attendant in Madison, West Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1 Avenue C
Madison, WV 25130-1100
Phone: (304) 242-8404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1104756642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address492 Upper River Rd, Danville, WV 25053-4564

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