Lilac Homes Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LILAC HOMES CORPORATION

Practice address

2615 Parkview Dr
Moorhead, MN 56560

Phone

(218) 443-2426

NPI assigned

Oct 11, 2012

Organization subpart

No

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

Authorized official

Name

William Nelson

Title

President

Phone

(218) 443-2426

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350086400000",
    "number": "1982956140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24806 LABRADOR BCH",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565727178",
            "telephone_number": "218-443-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PARKVIEW DR",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-443-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC HOMES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-443-2426"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Lemer, LMFT
• Patrick Lenertz, LICSW
• Eric E Letvin
• Stacy Levang, CCC-SLP
• Melissa Ann Leverence, LICSW
• Cressy Rose Liljenquist, ADC-T
• Ashley Marie Limesand
• Linda R Hamann
• Erica Leighton Lindahl, LMSW, LGSW
• Katelyn Lindgren

• Assisted Living Facility in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.