Lilly of the Valley LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

LILLY OF THE VALLEY LLC

Practice address

5651 Woodcrest Ave
Philadelphia, PA 19131-1303

Phone

(267) 902-2343

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Shanice Jenkins

Title

Ceo

Phone

(267) 902-2343

Specialties & licenses 1

Addresses

Tax ID family

Lilly of the Valley LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lilly of the Valley LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cliffside Park, NJ
  • NPI 1457079444
  NPD tax ID

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1326512971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 FILBERT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042256",
            "telephone_number": "215-662-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 WOODCREST AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311303",
            "telephone_number": "267-902-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY OF THE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-902-2343"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eni Lile
• Lilia Gorovits MD PC
• John Thomas Lilley Jr., DMD
• Lillian'S Care, Inc.
• Lillie Love Home Care
• Alice Hyun Jin Lim, O.D
• Darosa Lim, MD
• Esther H Lim, M.D.
• Houn P Lim, PA C
• Janny Lim, DDS, MPH

• Day Training/Habilitation Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Day Training/Habilitation Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.