What is Tillie Lively's NPI number?

Tillie Lively's National Provider Identifier (NPI) is 1194520429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tillie Lively's specialty?

Tillie Lively is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Tillie Lively located?

Tillie Lively's practice location on file with NPPES is 205 Fairlea Plaza Dr, Ronceverte, WV 24970-9587.

What is Tillie Lively's phone number?

The practice phone number listed in the NPPES registry for Tillie Lively is (304) 956-0248.

Is Tillie Lively's NPI active?

Yes — Tillie Lively's NPI (1194520429) is active in the NPPES registry as of the last update on 2025-02-19.

IndividualActive

Tillie Lively

NPI 1194520429 · Personal Care Attendant · Ronceverte, WV

Tillie Lively is a Personal Care Attendant provider in Ronceverte, WV (NPI 1194520429).

Provider details

NPI number: 1194520429
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

205 Fairlea Plaza Dr

Ronceverte, WV 24970-9587

Phone: (304) 956-0248

Street-level locationGet directions

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Mailing address