Lily Marie Homecare LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

LILY MARIE HOMECARE LLC

Practice address

6700 Pines Blvd
Pembroke Pines, FL 33024-7544

Phone

(786) 273-0802

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Jackie Dezard

Title

Owner

Phone

(786) 273-0802

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Titfanny Thereza Puello Moore, RN

  • Registered Nurse
  • Hollywood, FL
  • NPI 1134086051
  NPD

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1386495505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247544",
            "telephone_number": "786-273-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY MARIE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "DEZARD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-273-0802"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestyle Therapy Inc
• Meagan Ligorria
• Liliam Hernandez DMD PA
• Lilian Pfeiffer LCSW P.a.
• Liliana C. Gonzalez D D S PA
• Lilia Maria Lima de Oliveira, MD
• Mateus Cabral Cecilio Lima, MD
• Jeffrey Lin, MD
• Lincoln Pharmacy LLC
• Line Medical Center Inc

• Home Health Registered Nurse in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.