Lillian Aisha Ibrahim

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

7903 Tincup Drive
Arlington, TX 76001

Phone

(817) 714-2263

NPI assigned

Mar 20, 2007

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Candela Communities Care, LLC

  dba Metro Home Care

  • Assisted Living Facility
  • Arlington, TX
  • NPI 1821831041
  NPD Authorized official
• L&S Assisted Living, LLC

  dba New Era Assisted Living

  • Assisted Living Facility
  • Arlington, TX
  • NPI 1811715311
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1154446870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 TIN CUP DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016105",
            "telephone_number": "817-477-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7903 TINCUP DRIVE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76001",
            "telephone_number": "817-714-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "LILLIAN",
        "middle_name": "AISHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Ibarra
• Melissa Ibarra, RN
• Chinwem A Ibekwe-Nwonumah
• Nnamdi Ibekwe
• Ibg Healthcare Services LLC
• Mira Ibrahim
• Randa Ibrahim, OD
• Sumaina Sanu Ibrahim
• Surat Jumoke Ibrahim, PMHNP-BC
• Celestine Ichoku, PHARM.D

• Adult Care Home Facility in Arlington, TX
• Providers in Arlington, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.