Lillie Faye Henderson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

18601 Cedar LN
Noble, OK 73068-5915

Phone

(405) 447-2532

Fax

(405) 447-0878

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• High Cedar Res. Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Noble, OK
  • NPI 1174730758
  NPD (past) Authorized official
• High Cedar Residential Care

  • Assisted Living Facility (Mental Illness)
  • Noble, OK
  • NPI 1700114253
  NPD (past) Authorized official

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1740565290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 CEDAR LN",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730685915",
            "telephone_number": "405-447-2532",
            "fax_number": "405-447-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 CEDAR LN",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730685915",
            "telephone_number": "405-447-2532",
            "fax_number": "405-447-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LILLIE",
        "middle_name": "FAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Donald Gilliam, D.D.S.
• Clifford John Gilson, DC
• Rhonda Hackney
• Angel Haggard, PT
• Harold H Haralson II, M.D.
• High Cedar Res. Care
• High Cedar Residential Care
• Hannah Marie Hixon
• Kaitlyn Hunter
• Impact Counseling Center LLC

• All providers in Noble, OK
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.