Lillibonn

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LILLIBONN

Practice address

6775 Applewood Blvd
Boardman, OH 44512-4940

Phone

(330) 758-2353

Fax

(330) 758-9733

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Ashley Elizabeth Rice, DCNPI 1770936361

Title

Owner

Phone

(334) 318-7307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Source of Boardman Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Elizabeth Rice, D.C.

  • Chiropractor
  • New Castle, PA
  • NPI 1770936361

  OH

  Medicare reassignment NPD Authorized official
• James J Sansone, D.C.

  • Sports Physician Chiropractor
  • Boardman, OH
  • NPI 1619035359
  NPD
• James G Leone, D.C.

  • Chiropractor
  • Boardman, OH
  • NPI 1689774176
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1972189207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 APPLEWOOD BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124940",
            "telephone_number": "330-758-2353",
            "fax_number": "330-758-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 APPLEWOOD BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124940",
            "telephone_number": "330-758-2353",
            "fax_number": "330-758-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIBONN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-318-7307",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC05023",
            "identifier": "LICENSE",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source of Boardman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Source of Boardman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vickie Lynn Liberatore
• Christopher W Liebig, MD
• Lifeline Partners, Inc
• Lawrence R Liguore, DDS
• Harold Joseph Liller Sr., LPCC-SUP
• Kathleen A. Lindstrom, PH.D.
• Pamella Linville
• Tina Lisko, LPN
• Living Independently, LLC
• Living Well Family Practice, Inc.

• Chiropractor in Boardman, OH
• Providers in Boardman, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.