Healthcare Provider Details

I. General information

NPI: 1639093867
Provider Name (Legal Business Name): ELENA B POLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 CHURCH ST
PHILIPPI WV
26416-1103
US

IV. Provider business mailing address

PO BOX 146
PHILIPPI WV
26416-0146
US

V. Phone/Fax

Practice location:
  • Phone: 304-457-4545
  • Fax:
Mailing address:
  • Phone: 304-457-4545
  • Fax: 304-457-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: