Active NPI
Dolores & Lillie's Place LLC
- Adult Day Care Clinic/Center
- South Holland, IL
National Provider Identifier
1023820040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- DOLORES & LILLIE'S PLACE LLC
- Practice address
- 16252 Prince Dr
South Holland, IL 60473-3233 - Phone
- (847) 220-6098
- NPI assigned
- Jan 25, 2025
- Last updated
- Feb 24, 2025
- 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
- Erikka Taylor
- Title
- Managing Director
- Phone
- (651) 278-4230
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
16252 Prince Dr
South Holland, IL 60473-3233
Mailing address
14 W Superior St Apt 1707
Chicago, IL 60654-3706
Phone (651) 278-4230
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1023820040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 W SUPERIOR ST APT 1707",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543706",
"telephone_number": "651-278-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16252 PRINCE DR",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733233",
"telephone_number": "847-220-6098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOLORES & LILLIE'S PLACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-25",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ERIKKA",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "651-278-4230"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.