Individual provider Active NPI

Matthew Farley, LPN

  • Licensed Practical Nurse
  • Lewisburg, WV
National Provider Identifier
1003539743
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
35889 Issued in WV
Practice address
10434 Seneca TRL S
Lewisburg, WV 24901-1586
Phone
(304) 645-1706
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 35889 WV Primary

Addresses

Primary practice location

10434 Seneca TRL S
Lewisburg, WV 24901-1586

Mailing address

10434 Seneca TRL S
Lewisburg, WV 24901-1586

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop/tablet

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35889WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Home Care Plus, Inc. CurrentSince Sep 25, 2022 Accepting new patients
Home Care Plus, Inc. PastSince Sep 25, 2022 Accepting new patients

Locations

10434 Seneca Trl S
Lewisburg, WV 24901
Phone (304) 645-1706

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1003539743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10434 SENECA TRL S",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10434 SENECA TRL S",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011586",
            "telephone_number": "304-645-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "35889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/tablet",
            "affiliation": "N",
            "address_1": "10434 Seneca Trl S",
            "city": "Lewisburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "249011586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.