Lillie's Place

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL001156 Issued in NC

Legal business name

LILLIE'S PLACE

Practice address

1804 Harris Dr
Burlington, NC 27217-8310

Phone

(336) 222-9424

Fax

(336) 570-0365

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Cherry Denise Crisp

Title

Administrator

Phone

(336) 222-9424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1699944397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HARRIS DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178310",
            "telephone_number": "336-222-9424",
            "fax_number": "336-570-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HARRIS DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178310",
            "telephone_number": "336-222-9424",
            "fax_number": "336-570-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIE'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-222-9424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifecycles of Alamance/Caswell Inc.
• Lifepath LLC
• Lifespan, Inc.
• Hannah Lifsey, PHARMD
• Light of Daye
• Lillies Place 2
• Tyvonder M. Lilly, MHSA, QP
• Angela S Lima, D.O
• Cheryl Paulette Lindley, FNP
• Elbisa Lindov, MA,LCMHC

• Assisted Living Facility (Mental Illness) in Burlington, NC
• Providers in Burlington, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.