Organization Active NPI

A Family Heirloom LLC

Doing business as Favorable Illusions

  • Prosthetic/Orthotic Supplier
  • Dillwyn, VA
National Provider Identifier
1326708678
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
A FAMILY HEIRLOOM LLC
Doing business as
Favorable Illusions
Practice address
15911 N James Madison Hwy
Dillwyn, VA 23936-3507
Phone
(434) 607-1674
NPI assigned
Dec 28, 2021
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Ta'Nesha Austin-Lewis
Title
Cranial Prosthesis Specialist
Phone
(434) 607-1674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

15911 N James Madison Hwy
Dillwyn, VA 23936-3507

Mailing address

6080 Preakness Stakes LN
Powhatan, VA 23139-7091
Phone (434) 607-1674

Other names 1

  • Favorable Illusions Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 4342859100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1326708678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 PREAKNESS STAKES LN",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397091",
            "telephone_number": "434-607-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15911 N JAMES MADISON HWY",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239363507",
            "telephone_number": "434-607-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FAMILY HEIRLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "AUSTIN-LEWIS",
        "authorized_official_first_name": "TA'NESHA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "434-607-1674"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4342859100",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "15911 N James Madison Hwy",
            "city": "Dillwyn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239363507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Favorable Illusions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Favorable Illusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillwyn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.