Lilachomebase

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

LILACHOMEBASE

Practice address

201 Vernon St
Wakefield, MA 01880-1911

Phone

(717) 319-0278

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Joyce W Wambui, NURSE

Title

LPN

Phone

(717) 319-0278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1790356103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VERNON ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801911",
            "telephone_number": "717-319-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VERNON ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801911",
            "telephone_number": "717-319-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILACHOMEBASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "WAMBUI",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "717-319-0278",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hwajoo Lee, DMD
• Seung Jae Lee, PHD,MAC.,DOM, LAC AP
• Leigh Leslie, M.S., OTR.L
• Mei-Hua Li, BCBA
• Liberty Testing Laboratories, Inc
• Stephanie Lin, RPH
• Susan Lindlad, PT
• Hannah Lis
• Logistic Transportation LLC
• Long Term Centers of New England, Inc

• Licensed Practical Nurse in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.