NPIMap

Organization Active NPI

Lilly Pad Home Health, LLC

  • Community/Behavioral Health Agency
  • Laurel, MS
National Provider Identifier
1952898322
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LILLY PAD HOME HEALTH, LLC
Practice address
1004 Adams St
Laurel, MS 39440-4365
Phone
(601) 342-2461
Fax
(888) 449-9560
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Latonya Hailes
Title
Adminstrator
Phone
(601) 336-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1004 Adams St
Laurel, MS 39440-4365

Mailing address

1507 Hardy St Ste 201
Hattiesburg, MS 39401-4978
Phone (601) 336-6114

Other names 1

  • dba Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lilly Pad Home Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1004 Adams St
Laurel, MS 39440
Phone (601) 342-2461

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1952898322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 HARDY ST STE 201",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014978",
            "telephone_number": "601-336-6114",
            "fax_number": "888-449-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 ADAMS ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404365",
            "telephone_number": "601-342-2461",
            "fax_number": "888-449-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY PAD HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "HAILES",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "601-336-6114"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.