Lillys Place Consultant Firm LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LILLYS PLACE CONSULTANT FIRM LLC

Doing business as

Lillys Place Assisted Livivng

Practice address

2708 Marshall Hall Rd
Bryans Road, MD 20616-3243

Phone

(202) 812-8674

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By 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

Mrs. Melody SmithNPI 1780426098

Title

Manager

Phone

(202) 812-8674

Specialties & licenses 3

Addresses

Other names 1

• Lillys Place Assisted Livivng Doing business as

Tax ID family

Lillys Place Assisted Livivng2 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.

• Lillys Place Consultant Firm LLC

  • Assisted Living Facility
  • Bryans Road, MD
  • NPI 1790654283
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melody Smith, ASSISTED LIVING

  • Home Health Aide
  • Bryans Road, MD
  • NPI 1780426098
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1578393591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 MARSHALL HALL RD",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206163243",
            "telephone_number": "202-812-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 MARSHALL HALL RD",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206163243",
            "telephone_number": "202-812-8674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6835 Indian Head Hwy",
            "address_purpose": "LOCATION",
            "city": "Bryans Road",
            "state": "MD",
            "postal_code": "206163093",
            "country_code": "US",
            "telephone_number": "202-812-8674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5600 Daniel Cir",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206013221",
            "country_code": "US",
            "telephone_number": "202-812-8674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Tyler Ct",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022964",
            "country_code": "US",
            "telephone_number": "202-812-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LILLYS PLACE CONSULTANT FIRM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-812-8674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lillys Place Assisted Livivng",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley A Johnson, PHARN D
• Whitney Joyner, R.N
• Rudy Huzam Juburi, M.D.
• K and a LLC
• Niya Lewis, LPC
• Lillys Place Consultant Firm LLC
• Briody Anne Martin, PHARMD
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01838)
• Solomon A Melson, LCSW
• Chakayla Middleton

• Assisted Living Facility in Bryans Road, MD
• Providers in Bryans Road, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.