Organization Active NPI

Lillys Home Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Oak Hill, WV
National Provider Identifier
1902947443
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
138 Main St W
Oak Hill, WV 25901-2935
Phone
(304) 465-8851
NPI assigned
Feb 9, 2007
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 J Lilly
Title
Owner
Phone
(304) 255-0925

Specialties & licenses 1

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

Addresses

Primary practice location

138 Main St W
Oak Hill, WV 25901-2935

Mailing address

138 Main St W
Oak Hill, WV 25901-2935
Phone (304) 465-8851

Other identifiers 1

IdentifierTypeStateIssuer
3810003014MedicaidWV

National Provider Directory

National Provider Directory

Locations

138 Main St W
Oak Hill, WV 25901
Phone (304) 465-8851

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902947443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012935",
            "telephone_number": "304-465-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012935",
            "telephone_number": "304-465-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLYS HOME MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "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": "3810003014",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, 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.