Lillyes Heart

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

689238896 Issued in FL

Legal business name

LILLYES HEART

Practice address

8387 Century Point Dr N
Jacksonville, FL 32216-9286

Phone

(904) 722-3301

Fax

(904) 722-3302

NPI assigned

Apr 21, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Leandra E Stafford

Title

Owner/Ceo

Phone

(904) 722-3301

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LeAndra E. Stafford Doing business as

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1215101282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8387 CENTURY POINT DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169286",
            "telephone_number": "904-722-3301",
            "fax_number": "904-722-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8387 CENTURY POINT DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169286",
            "telephone_number": "904-722-3301",
            "fax_number": "904-722-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLYES HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "LEANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-722-3301",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "689238896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689238896",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689238898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeAndra E. Stafford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michala Ray-Lynn Lillard
• Joseph T Lillia
• Lilliam Rivera
• Angel Lilly, APRN
• Lauren A Lilly, DDS
• Lillys Medical Center LLC
• Alan Saruca Lim, MD
• Alexander S Lim, M.D.
• Andrew Lim, M.D.
• Chea Huei Lim, ARNP

• Developmentally Disabled Services Day Training Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.