LILLITH MORRIS GROUP HOME INC. NPI 1700125374

NPI Information

  • NPI: 1700125374
  • Provider Name: LILLITH MORRIS GROUP HOME INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 364 SAN AMBROSIO ST
    PUNTA GORDA, FL
    ZIP 33983
  • Phone: (941) 623-0404

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NPI Details

LILLITH MORRIS GROUP HOME INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Punta Gorda, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LILLITH MORRIS GROUP HOME INC. NPI is 1700125374. The provider is registered as an organization entity type.

The provider's business location address is:

364 SAN AMBROSIO ST
PUNTA GORDA, FL
ZIP 33983-767
Phone: (941) 623-0404
Fax: (941) 623-0404

The provider's authorized official is Deborah Joshua .
The authorized official title is Director and has the following contact phone number (941) 623-0404.

The enumeration date for this NPI number is 2/1/2013 and was last updated on 2/1/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental Disabilities10001505FLORIDANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities10001505FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1689522196OTHERFLORIDAMEDICAID PROVIDER # (DD WAIVER)

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: 11/21/2025

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