LLTJ Enterprises LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LLTJ ENTERPRISES LLC

Practice address

110 Smokehouse LN
Cary, NC 27513-5431

Phone

(919) 413-6933

Fax

(919) 460-0776

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Thelma Smith I

Title

Ceo

Phone

(919) 413-6933

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1669560918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SMOKEHOUSE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135431",
            "telephone_number": "919-413-6933",
            "fax_number": "919-460-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SMOKEHOUSE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135431",
            "telephone_number": "919-413-6933",
            "fax_number": "919-460-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLTJ ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-413-6933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603806",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kortney Livingstone, RBT
• Susie Livingstone
• Deanna Lloyd
• Elizabeth Marie Lloyd
• Tyesha Lloyd
• Jason Lo, M.D.
• Zachary S Lo, RN NP-C
• Tavaughn Dontay Locke-Autry
• Kenji Lockett
• Yusra Shaukat Lodhi, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cary, NC
• Providers in Cary, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

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