Active NPI
Matthew Farley, LPN
- Licensed Practical Nurse
- Lewisburg, WV
National Provider Identifier
1003539743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 35889
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35889 | WV | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Care Plus, Inc. | Current | Accepting new patients | |
| Home Care Plus, Inc. | Past | 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.
-
- Home Health Agency
- Lewisburg, WV
- NPI 1457343451
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, WV
- NPI 1851332878
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.