Organization Active NPI

Lillie'S Home Healthcare LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1902494636
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LILLIE'S HOME HEALTHCARE LLC
Practice address
570 Bluff Parks Dr
Florissant, MO 63031-5515
Phone
(314) 749-0775
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Candace Hosea
Title
Owner/Manager
Phone
(314) 465-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

570 Bluff Parks Dr
Florissant, MO 63031-5515

Mailing address

570 Bluff Parks Dr
Florissant, MO 63031-5515
Phone (314) 749-0775

Other names 1

  • LILLIE'S HOME HEALTHCARE LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1902494636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BLUFF PARKS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315515",
            "telephone_number": "314-749-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BLUFF PARKS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315515",
            "telephone_number": "314-749-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIE'S HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "HOSEA",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "314-465-1061"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LILLIE'S HOME HEALTHCARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

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