Organization Active NPI

Ils Medical, Inc

  • Home Health Agency
  • Suffolk, VA
National Provider Identifier
1689928004
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 7, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.