Peace Lily Development, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

MHL086032 Issued in NC

Legal business name

PEACE LILY DEVELOPMENT, INC.

Practice address

101 Peace Lilly LN
Dobson, NC 27017-8483

Phone

(336) 386-8074

Fax

(336) 386-8394

NPI assigned

Dec 15, 2006

Last updated

Jul 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Lewis

Title

Administrator

Phone

(336) 386-8074

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Peace Lily Development Inc2 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.

• Peace Lily Development Inc

  • Adult Care Home Facility
  • Dobson, NC
  • NPI 1992869887
  NPD tax ID

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1457413437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270170705",
            "telephone_number": "336-386-8074",
            "fax_number": "336-386-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEACE LILLY LN",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178483",
            "telephone_number": "336-386-8074",
            "fax_number": "336-386-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE LILY DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-386-8074"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL086032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Cheek O'Dell, FNP
• Ourhealth Professional Physician Group, LLC
• Gary Lee Pannabecker, DDS
• Emily Megan Park, CCC-SLP
• Peace Lily Development Inc
• Phoenix Counseling Collaborative LLC
• Piedmont Medical, Inc.
• Amy Denise Poindexter, NP
• Kyle Wesley Polzin, CCC-SLP
• Pqa Healthcare, Inc

• Intellectual Disabilities Intermediate Care Facility in Dobson, NC
• Providers in Dobson, NC by specialty
• Intellectual Disabilities Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.