1. Home
  2. Directory
  3. Illinois
  4. Alton
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

ROBERTAS LOVELY LADIES BOUTIQUE
NPI 1376508309
Durable Medical Equipment & Medical Supplies in Alton, IL

Active since April 20, 2006
603 WEST DELMAR, ALTON, IL 62002(618) 467-0640(618) 467-8819 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robertas Lovely Ladies Boutique NPPES

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

ROBERTAS LOVELY LADIES BOUTIQUE (NPI 1376508309) is a healthcare organization registered as a durable medical equipment & medical supplies in Alton, Illinois and active in the NPI registry since April 2006. The organization lists Roberta J Jaynes, Owner Sole Propietor, as its authorized official.

NPPES Registry Identity

NPI1376508309
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameROBERTAS LOVELY LADIES BOUTIQUE
Location Address603 WEST DELMARAlton, IL 62002
Mailing Address603 West DelmarAlton, IL 62002 · (618) 467-0640 · Fax (618) 467-8819
Phone(618) 467-0640
Fax(618) 467-8819
Organization SubpartNo
Authorized OfficialRoberta J JaynesOwner Sole Propietor · (618) 467-0640
Enumeration DateApril 20, 2006
Last NPPES UpdateJune 18, 2015
✔ NPI 1376508309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in IL · A1735
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
603 WEST DELMAR, Alton, IL 62002
Open in Google Maps ↗

Other Identifiers 10

OtherBA7549138IL · Multi Plan Of Il
Medicare ID-Type Unspecified093537001IL
Other06020694IL · Bcbs Of Il
Other5824316IL · Aetna
Medicare ID-Type Unspecified0935370001IL
Other137024IL · Bcbs Of Mo
Other269893Healthlink Of Il
Other2375728IL · Aetna
Medicare ID-Type Unspecified0935370001MD
OtherL038503Tricare

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 Robertas Lovely Ladies Boutique's NPI number?

The NPI number for Robertas Lovely Ladies Boutique is 1376508309. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Robertas Lovely Ladies Boutique located?

Robertas Lovely Ladies Boutique is located at 603 West Delmar, Alton, IL 62002. The listed phone number is (618) 467-0640.

What is Robertas Lovely Ladies Boutique's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Robertas Lovely Ladies Boutique was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.