Organization Active NPI

Lily's Blessings Family Care Home

  • Adult Care Home Facility
  • Elizabeth City, NC
National Provider Identifier
1114369923
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-070-010 Issued in NC
Legal business name
LILY'S BLESSINGS FAMILY CARE HOME
Practice address
1246 Weeksville Rd
Elizabeth City, NC 27909-8408
Phone
(252) 331-1720
Fax
(252) 330-8030
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Mrs. Yvonne Brothers Williams
Title
Co-Owner/Administrator
Phone
(252) 331-1720

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-070-010 NC
Adult Care Home Facility 311ZA0620X FCL-070-010 NC Primary

Addresses

Primary practice location

1246 Weeksville Rd
Elizabeth City, NC 27909-8408

Mailing address

1246 Weeksville Rd
Elizabeth City, NC 27909-8408
Phone (252) 331-1720

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1114369923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098408",
            "telephone_number": "252-331-1720",
            "fax_number": "252-330-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098408",
            "telephone_number": "252-331-1720",
            "fax_number": "252-330-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY'S BLESSINGS FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "BROTHERS",
        "authorized_official_title_or_position": "CO-OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "252-331-1720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-070-010",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-070-010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.