Active NPI
Luddie Shawn Farley
- Adult Companion
- Layland, WV
National Provider Identifier
1912704388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 259 Layland Heights Rd Box 2
Layland, WV 25864-2586 - Phone
- (681) 222-8837
- NPI assigned
- Feb 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary | ||
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
259 Layland Heights Rd Box 2
Layland, WV 25864-2586
Mailing address
PO Box 2
Layland, WV 25864-0002
Phone (681) 222-9115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1912704388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "LAYLAND",
"state": "WV",
"postal_code": "258640002",
"telephone_number": "681-222-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 LAYLAND HEIGHTS RD BOX 2",
"city": "LAYLAND",
"state": "WV",
"postal_code": "258642586",
"telephone_number": "681-222-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "LUDDIE",
"middle_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layland, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.