NPIMap

Organization Active NPI

Lily Care Inc

  • Home Health Agency
  • Marion, NC
National Provider Identifier
1689731911
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2338 Issued in NC
Legal business name
LILY CARE INC
Practice address
50 State St
Marion, NC 28752-4021
Phone
(828) 659-8879
Fax
(828) 659-8879
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Mr. Tice James RandolphNPI 1508194481
Title
Owner
Phone
(828) 659-8879

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2338 NC Primary
In Home Supportive Care Agency 253Z00000X HC2338 NC

Addresses

Primary practice location

50 State St
Marion, NC 28752-4021

Mailing address

50 State Street
Marion, NC 28752-4548
Phone (828) 659-8879

Other identifiers 2

IdentifierTypeStateIssuer
3408122MedicaidNC
6600926MedicaidNC

Other names 1

  • Lily Care Inc Other name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1689731911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STATE STREET",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524548",
            "telephone_number": "828-659-8879",
            "fax_number": "828-659-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STATE ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524021",
            "telephone_number": "828-659-8879",
            "fax_number": "828-659-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "TICE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-659-8879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2338",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408122",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600926",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lily Care Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lily Care Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.