Health Pro LLC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

BUS. LICENSE #22659 Issued in VA

Legal business name

HEALTH PRO LLC

Practice address

3959 Electric Rd
Suite 400
Roanoke, VA 24018-4562

Phone

(540) 777-1011

Fax

(540) 777-1004

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Tyler M. Moore

Title

Managing Member

Phone

(540) 777-1011

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316975402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD",
            "address_2": "SUITE 400",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184562",
            "telephone_number": "540-777-1011",
            "fax_number": "540-777-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD",
            "address_2": "SUITE 400",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184562",
            "telephone_number": "540-777-1011",
            "fax_number": "540-777-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "540-777-1011"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "VA",
            "license": "BUS. LICENSE #22659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "0236079",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility Supplies (DME) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Nursing Facility Supplies (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.