What is Ethan Imboden's NPI number?

Ethan Imboden's National Provider Identifier (NPI) is 1104761543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Imboden's specialty?

Ethan Imboden is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Ethan Imboden located?

Ethan Imboden's practice location on file with NPPES is 525 Camden Ave, Monongah, WV 26554-1104.

What is Ethan Imboden's phone number?

The practice phone number listed in the NPPES registry for Ethan Imboden is (304) 816-2780.

Is Ethan Imboden's NPI active?

Yes — Ethan Imboden's NPI (1104761543) is active in the NPPES registry as of the last update on 2026-04-22.

IndividualActive

Ethan Imboden

NPI 1104761543 · Personal Care Attendant · Monongah, WV

Ethan Imboden is a Personal Care Attendant provider in Monongah, WV (NPI 1104761543).

Provider details

NPI number: 1104761543
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

525 Camden Ave

Monongah, WV 26554-1104

Phone: (304) 816-2780

Street-level locationGet directions

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Mailing address