NPIMap

Organization Active NPI

Family Life Medical and Prosthetics LLC

  • Durable Medical Equipment & Medical Supplies
  • Murray, KY
National Provider Identifier
1609998442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
300 Maple St
Suite 107
Murray, KY 42071-2540
Phone
(270) 217-0798
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 105540 KY Primary

Addresses

Primary practice location

300 Maple St
Suite 107
Murray, KY 42071-2540

Mailing address

300 Maple St
Suite 107
Murray, KY 42071-2540
Phone (270) 217-0798

National Provider Directory

National Provider Directory
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.

Locations

300 Maple St
Ste 107
Murray, KY 42071
Phone (270) 217-0798

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609998442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAPLE ST",
            "address_2": "SUITE 107",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712540",
            "telephone_number": "270-217-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAPLE ST",
            "address_2": "SUITE 107",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712540",
            "telephone_number": "270-217-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE MEDICAL AND PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • 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.