Organization Active NPI

Lillys Home Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Beckley, WV
National Provider Identifier
1548328909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LILLYS HOME MEDICAL SUPPLY, INC.
Practice address
479 N Vance Dr
Beckley, WV 25801-4158
Phone
(304) 255-0925
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Martha Jane Lilly
Title
Ceo
Phone
(304) 255-0925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WV Primary

Addresses

Primary practice location

479 N Vance Dr
Beckley, WV 25801-4158

Mailing address

PO Box 1148
Beckley, WV 25802-1148
Phone (304) 255-0925

Other identifiers 1

IdentifierTypeStateIssuer
0146663000MedicaidWV

National Provider Directory

National Provider Directory

Locations

479 N Vance Dr
Beckley, WV 25801
Phone (304) 255-0925

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548328909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258021148",
            "telephone_number": "304-255-0925",
            "fax_number": "304-255-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 N VANCE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014158",
            "telephone_number": "304-255-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLYS HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-255-0925"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146663000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.