Lilly of the Valley LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LILLY OF THE VALLEY LLC

Practice address

1 Towne Centre Drive
Suite 302
Cliffside Park, NJ 07010-2050

Phone

(267) 902-2343

NPI assigned

Aug 16, 2022

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

  • Day Training/Habilitation Specialist
  • Philadelphia, PA
  • NPI 1326512971
  NPD tax ID

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1457079444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S GODDARD BLVD APT 434",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TOWNE CENTRE DRIVE",
            "address_2": "SUITE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102050",
            "telephone_number": "267-902-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY OF THE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya A Lazovik, DPM
• Inna Lee, MD
• Richard Evan Levine, M.D.
• Lifespan Physical Therapy, LLC
• Lilly in the Valley LLC
• Michael Locantore, DPT
• Long Life Adult Day Care, LLC
• Long Life Adult Day Care, PC
• Sofina Lopez
• Lubna Enterprises Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.