LILAC HOMES CORPORATION NPI 1982956140

NPI Information

  • NPI: 1982956140
  • Provider Name: LILAC HOMES CORPORATION
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2050111
  • Address: 2615 PARKVIEW DR
    MOORHEAD, MN
    ZIP 56560
  • Phone: (218) 443-2426

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NPI Details

LILAC HOMES CORPORATION is an assisted living facility in Moorhead, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LILAC HOMES CORPORATION NPI is 1982956140. The provider is registered as an organization entity type.

The provider's business location address is:

2615 PARKVIEW DR
MOORHEAD, MN
ZIP 56560
Phone: (218) 443-2426

The provider's authorized official is William Nelson .
The authorized official title is President and has the following contact phone number (218) 443-2426.

The CLIA number assigned to this NPI record is 24D2050111 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2012 and was last updated on 10/13/2012.

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
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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