Organization Active NPI

Lily Healthcare Service

  • Assisted Living Facility
  • Memphis, TN
National Provider Identifier
1417564410
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LILY HEALTHCARE SERVICE
Practice address
4290 Ridgestone Dr Apt 5
Memphis, TN 38128-1837
Phone
(901) 205-8656
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Dineka ThomasNPI 1336786086
Title
Owner
Phone
(901) 205-8656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4290 Ridgestone Dr Apt 5
Memphis, TN 38128-1837

Mailing address

4290 Ridgestone Dr Apt 5
Memphis, TN 38128-1837
Phone (901) 205-8656

Other names 1

  • Lily Healthcare Service Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1417564410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 RIDGESTONE DR APT 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381281837",
            "telephone_number": "901-205-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 RIDGESTONE DR APT 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381281837",
            "telephone_number": "901-205-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DINEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-205-8656"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lily Healthcare Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.