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TILLIE JOY LIVELY
NPI 1194520429
Technician - Personal Care Attendant in Ronceverte, WV

Active since February 19, 2025
205 FAIRLEA PLAZA DR, RONCEVERTE, WV 24970(304) 956-0248 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tillie Joy Lively NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TILLIE JOY LIVELY (NPI 1194520429) is an individual personal care attendant in Ronceverte, West Virginia and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1194520429
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameTILLIE JOY LIVELY
Location Address205 FAIRLEA PLAZA DRRonceverte, WV 24970-9587
Mailing Address205 Fairlea Plaza DrRonceverte, WV 24970-9587 · (304) 956-0248
Phone(304) 956-0248
Sole ProprietorNo
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1194520429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
205 FAIRLEA PLAZA DR, Ronceverte, WV 24970
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tillie Lively's NPI number?

The NPI number for Tillie Lively is 1194520429. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Tillie Lively located?

Tillie Lively practices at 205 Fairlea Plaza Dr, Ronceverte, WV 24970. The listed phone number is (304) 956-0248.

What is Tillie Lively's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Tillie Lively was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.