IndividualActive
Otis Mack
NPI 1184216749 · Personal Care Attendant · Charleston, WV
Otis Mack is a Personal Care Attendant provider in Charleston, WV (NPI 1184216749).
Provider details
- NPI number
- 1184216749
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES 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
1599 2nd Ave
Charleston, WV 25387-2514
Phone: (304) 344-0586
Street-level locationGet directions
Mailing address
Po Box 20112
Charleston, WV 25362-1112
Registry dates
- Enumerated
- 2021-02-05
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Frequently asked questions
- What is Otis Mack's NPI number?
- Otis Mack's National Provider Identifier (NPI) is 1184216749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Otis Mack's specialty?
- Otis Mack is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Otis Mack located?
- Otis Mack's practice location on file with NPPES is 1599 2nd Ave, Charleston, WV 25387-2514.
- What is Otis Mack's phone number?
- The practice phone number listed in the NPPES registry for Otis Mack is (304) 344-0586.
- Is Otis Mack's NPI active?
- Yes — Otis Mack's NPI (1184216749) is active in the NPPES registry as of the last update on 2021-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.