Rebecca Lynn Lilly
Individual provider Active NPI Personal Care Attendant · Rupert, WV
NPI 1104498625 · NPPES record last updated Jul 14, 2021
Key facts
- NPI
- 1104498625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 154 Lewis St.
Rupert, WV 25984 - Phone
- (304) 647-8518
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
154 Lewis St.
Rupert, WV 25984
Mailing address
PO Box 28
Rupert, WV 25984-0028
Phone (304) 647-8518
Other providers in Rupert, WV
- David Hyler-Both
- Kathy Keadle
- Ashli Knotts
- Pam Legrand
- Cyndi Ann Lightner
- Tonya Lucas
- Christina McMann
- Josephine Meyer
- Angela Morrello
- Alysia Mullins
All providers in Rupert, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.