Lilly'S Quality Care Assisted Living 2, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LILLY'S QUALITY CARE ASSISTED LIVING 2, LLC

Practice address

5323 Wesley Ave
Baltimore, MD 21207-8194

Phone

(443) 200-5636

Fax

(667) 200-0673

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Johnson-Nesmith, RN

Title

Ceo/DN

Phone

(443) 622-5050

Specialties & licenses 1

Addresses

Other names 1

• Lilly's Quality Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1174287353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 WESLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212078194",
            "telephone_number": "443-200-5636",
            "fax_number": "667-200-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 WESLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212078194",
            "telephone_number": "443-200-5636",
            "fax_number": "667-200-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY'S QUALITY CARE ASSISTED LIVING 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-NESMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/DN",
        "authorized_official_telephone_number": "443-622-5050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilly's Quality Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Lilly-Pawlowski, MSW, LMSW
• Janya Lilly
• Linda P Lilly, MA CCCSLP
• Michael Peter Lilly, MD
• Ronald Leroy Lilly, RPH
• Charles Lim, PA-C
• Chin Hong Lim, MB BCH BAO
• Christina Eunji Lim, LMSW
• Cynthia M Lim, DMD
• Euyn Lim

• Assisted Living Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.