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LILLY PAD HOME HEALTH LLC NPI 1396250031


NPI Information

NPI: 1396250031
Provider Name: LILLY PAD HOME HEALTH, LLC

Former Legal Business Name: LILLY PAD HOME HEALTH, LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1507 HARDY ST STE 201
HATTIESBURG, MS
ZIP 39401
Phone: (601) 410-5836
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LILLY PAD HOME HEALTH, LLC is a community behavioral health in Hattiesburg, MS. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LILLY PAD HOME HEALTH, LLC NPI is 1396250031. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lilly Pad Home Health, Llc.

The provider's business location address is:

1507 HARDY ST STE 201
HATTIESBURG, MS
ZIP 39401-978
Phone: (601) 410-5836
Fax: (888) 449-9560

The provider's authorized official is Latonya Hailes .
The authorized official title is Ceo/administrator and has the following contact phone number (601) 336-6114.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 11/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2376J00000XHomemakerNo
3385H00000XRespite CareNo
4171000000XMilitary Health Care ProviderNo
5251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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