Organization Active NPI

Lilac Healthcare Systems

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1790220978
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LILAC HEALTHCARE SYSTEMS
Practice address
1451 Mullanphy St
Saint Louis, MO 63106-3114
Phone
(314) 933-6556
NPI assigned
Dec 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Greta Dahley Mensah
Title
Director
Phone
(314) 933-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1451 Mullanphy St
Saint Louis, MO 63106-3114

Mailing address

1451 Mullanphy St
Saint Louis, MO 63106-3114
Phone (314) 933-6556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1790220978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 MULLANPHY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063114",
            "telephone_number": "314-933-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 MULLANPHY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063114",
            "telephone_number": "314-933-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "DAHLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-933-6556"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.