Active NPI
Ils Medical, Inc
- Home Health Agency
- Suffolk, VA
National Provider Identifier
1689928004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ILS MEDICAL, INC
- Practice address
- 3612 Pruden Blvd Ste B
Suffolk, VA 23434-7204 - Phone
- (877) 571-1821
- NPI assigned
- Nov 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian G Moss Sr.
- Title
- Director of Admin Services
- Phone
- (877) 581-1821
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | VA | Primary | |
| In Home Supportive Care Agency | 253Z00000X | VA |
Addresses
Primary practice location
3612 Pruden Blvd Ste B
Suffolk, VA 23434-7204
Mailing address
2085 Lynnhaven Pkwy Ste 106-253
Virginia Beach, VA 23456-1497
Phone (877) 581-1821
National Provider Directory
National Provider DirectoryLocations
3612 Pruden Blvd
Ste B
Suffolk, VA 23434
Phone (877) 571-1821
2085 Lynnhaven Pkwy
Ste 106253
Virginia Beach, VA 23456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352246400000",
"number": "1689928004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 LYNNHAVEN PKWY STE 106-253",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234561497",
"telephone_number": "877-581-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 PRUDEN BLVD STE B",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234347204",
"telephone_number": "877-571-1821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILS MEDICAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-07",
"last_updated": "2012-11-07",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DIRECTOR OF ADMIN SERVICES",
"authorized_official_telephone_number": "877-581-1821",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.