Lilly Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LILLY HOMECARE LLC

Practice address

10268 W Vale Dr
Avondale, AZ 85392-1302

Phone

(602) 332-8199

Fax

(602) 865-7892

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Kavin Stephenson

Title

Owner

Phone

(602) 332-8199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1114770641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10268 W VALE DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921302",
            "telephone_number": "602-332-8199",
            "fax_number": "602-865-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10268 W VALE DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921302",
            "telephone_number": "602-332-8199",
            "fax_number": "602-865-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "KAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-332-8199"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Avondale, AZ
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• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.