Lilybrook Wellness Center LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

LILYBROOK WELLNESS CENTER LLC

Practice address

176 Waynewood Rd
Lake Ariel, PA 18436-4285

Phone

(703) 509-1789

NPI assigned

Apr 1, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hsiao-Ping Park

Title

Owner

Phone

(703) 509-1789

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1043772023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 WAYNEWOOD RD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364285",
            "telephone_number": "703-509-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WAYNEWOOD RD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364285",
            "telephone_number": "703-509-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILYBROOK WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HSIAO-PING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-509-1789"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Lake Ariel, PA
• Providers in Lake Ariel, PA by specialty
• Health Educator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.