Family Life Medical and Prosthetics, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

105540 Issued in KY

Legal business name

FAMILY LIFE MEDICAL AND PROSTHETICS, LLC

Practice address

120 Cave Thomas Dr
Suite B
Paducah, KY 42001-5808

Phone

(270) 217-0798

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Paula J. Green, RN

Title

Owner

Phone

(270) 217-0798

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Family Life Medical and Prosthetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Life Medical and Prosthetics LLC

  • Durable Medical Equipment & Medical Supplies
  • Murray, KY
  • NPI 1609998442
  NPD tax ID

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558482091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAVE THOMAS DR",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015808",
            "telephone_number": "270-217-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAVE THOMAS DR",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015808",
            "telephone_number": "270-217-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE MEDICAL AND PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-217-0798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "105540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90009424",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Extendicare Homes, Inc. (Medco Center of Paducah)
• Eye Center of Paducah, LLC
• Eyecare Associates of Kentucky, PSC
• Kimberly Fairchild, COTA
• Megan Brown Falder
• Family Medicine Associates of Western Kentucky, PLLC
• Svetlana Famina, M.D.
• James E Farley
• Leah Rose Farley, APRN
• Zandra Bristol Farley, RN

• Durable Medical Equipment & Medical Supplies in Paducah, KY
• Providers in Paducah, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• 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.