Organization Active NPI

Lily's of the Valley Home Care LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1164103586
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LILY'S OF THE VALLEY HOME CARE LLC
Practice address
2601 18TH St S
Fargo, ND 58103-6603
Phone
(701) 941-0062
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Saharla Dahir Eid, RN
Title
Owner
Phone
(170) 194-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2601 18TH St S
Fargo, ND 58103-6603

Mailing address

2601 18TH St S
Fargo, ND 58103-6603
Phone (701) 941-0062

Other names 1

  • Executive Home Healthcare llc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1164103586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 18TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036603",
            "telephone_number": "701-941-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 18TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036603",
            "telephone_number": "701-941-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY'S OF THE VALLEY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-09-02",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "EID",
        "authorized_official_first_name": "SAHARLA",
        "authorized_official_middle_name": "DAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "170-194-1006",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Home Healthcare llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.