Active NPI
Llewellyns Inc
- Durable Medical Equipment & Medical Supplies
- Avoca, PA
National Provider Identifier
1922377886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LLEWELLYNS INC
- Practice address
- 703 Main St
Avoca, PA 18641 - Phone
- (470) 457-2341
- Fax
- (570) 457-3224
- NPI assigned
- Dec 22, 2011
- Last updated
- Aug 10, 2023
- 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
- Mr. Joseph Desanto
- Title
- President
- Phone
- (570) 457-5251
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | PP411400L | PA |
Addresses
Primary practice location
703 Main St
Avoca, PA 18641
Mailing address
703 Main St
Avoca, PA 18641-1622
Phone (570) 457-2341
Other practice location 1
709 Main st
Avoca, PA 18641-1672
Phone (570) 457-5251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017030320001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1922377886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "AVOCA",
"state": "PA",
"postal_code": "186411622",
"telephone_number": "570-457-2341",
"fax_number": "570-457-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "AVOCA",
"state": "PA",
"postal_code": "18641",
"telephone_number": "470-457-2341",
"fax_number": "570-457-3224"
}
],
"practiceLocations": [
{
"address_1": "709 Main st",
"address_purpose": "LOCATION",
"city": "Avoca",
"state": "PA",
"postal_code": "186411672",
"country_code": "US",
"telephone_number": "570-457-5251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LLEWELLYNS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-22",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "DESANTO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-457-5251",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "PA",
"license": "PP411400L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017030320001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avoca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.