LILLY PAD HOME HEALTH, LLC


Address: 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978
Phone: 6013366114

LILLY PAD HOME HEALTH, LLC (NPI# 1114414505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114414505
Entity Type Organization
Organization Name LILLY PAD HOME HEALTH, LLC
Practice Address 1507 Hardy St Ste 201
Hattiesburg
MS 39401-4978
Practice Telephone 6013366114
Practice Fax Number 8884499560
Mailing Telephone 6013366114
Mailing Fax Number 8884499560
Enumeration Date 2018-04-20
Last Update Date 2018-12-12
Authorized Official Name LATONYA HAILES (ADMINSTRATOR)
Authorized Official Telephone 6013366114
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC1600X Registered Nurse
Specialization: Continuing Education/Staff Development
Nursing Service Providers
N 163WC2100X Registered Nurse
Specialization: Continence Care
Nursing Service Providers
N 163WD0400X Registered Nurse
Specialization: Diabetes Educator
Nursing Service Providers
N 163WD1100X Registered Nurse
Specialization: Dialysis, Peritoneal
Nursing Service Providers
N 163WC0400X Registered Nurse
Specialization: Case Management
Nursing Service Providers
N 163WH1000X Registered Nurse
Specialization: Hospice
Nursing Service Providers
N 163WF0300X Registered Nurse
Specialization: Flight
Nursing Service Providers
N 163WG0600X Registered Nurse
Specialization: Gerontology
Nursing Service Providers
N 163WH0200X Registered Nurse
Specialization: Home Health
Nursing Service Providers
N 163WI0500X Registered Nurse
Specialization: Infusion Therapy
Nursing Service Providers
N 163WI0600X Registered Nurse
Specialization: Infection Control
Nursing Service Providers
N 163WP0200X Registered Nurse
Specialization: Pediatrics
Nursing Service Providers
N 163WS0200X Registered Nurse
Specialization: School
Nursing Service Providers
N 163WW0000X Registered Nurse
Specialization: Wound Care
Nursing Service Providers
Y 163W00000X Registered Nurse Nursing Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942715289 Lilly Pad Home Health, LLC Respite Care 11 North Water Street, Mobile, AL 36602 2017-12-08
1396250031 Lilly Pad Home Health, LLC Military Health Care Provider 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 2017-12-04
1952898322 Lilly Pad Home Health, LLC Community/Behavioral Health 1004 Adams St, Laurel, MS 39440-4365 2018-04-20

Office Location

Street Address 1507 HARDY ST STE 201
City HATTIESBURG
State MS
Zip Code 39401-4978

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396250031 Lilly Pad Home Health, LLC Military Health Care Provider 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 2017-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598315863 Lisa Thornton Technician 18 Timberline Dr., Hattiesburg, MS 39401 2019-09-18
1548813637 Caroline Estes Barnes Counselor Barnes, 8 App Slade Road, Hattiesburg, MS 39401 2019-07-18
1396252441 Selection Healthcare Services, LLC In Home Supportive Care 606 Adeline St Ste 1c, Hattiesburg, MS 39401 2018-01-10
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
1740795806 Forrest General Hospital Pharmacy 1414 South 28th Avenue, Hattiesburg, MS 39401 2017-12-11
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1043671704 The Covington's Cove Assisted Living Center LLC Assisted Living Facility 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 2016-03-09
1780083626 Dominique Reed Watson Pharmacist 602 Adeline St, Hattiesburg, MS 39401 2014-08-15
1558778936 Willie Davis Jr. Day Training, Developmentally Disabled Services 701 Duke Ave., Hattiesbiurg, MS 39401 2014-07-17
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083246474 Jennifer Ross Goodwin Registered Nurse 43 Denstone Rd, Hattiesburg, MS 39402-8713 2020-02-04
1669475315 Gregory Richard Sims Registered Nurse 5001 Hardy St, Hattiesburg, MS 39402-1308 2005-05-24
1285263103 Courtney Lynn Cruthirds Registered Nurse 6051 U S Highway 49, Hattiesburg, MS 39401-7201 2020-04-02
1851924013 Melissa Ann Ezelle Registered Nurse 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 2020-02-17
1740691708 Rebecca Kathryn Privon Registered Nurse 4 Medical Blvd, Hattiesburg, MS 39401-7230 2014-05-13
1356616114 Teresa Suzette Hammaker Registered Nurse 5001 Hardy St, Hattiesburg, MS 39402-1308 2012-03-13
1518014166 Jeremiah Wesley Daniels Registered Nurse 415 S 28th Ave, Hattiesburg, MS 39401-7246 2007-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093316952 Jennifer Hume Cook Registered Nurse 64 Napa Valley Cir, Madison, MS 39110-8892 2020-11-05
1356940803 Elizabeth Marie Cole Registered Nurse 100 Sandpiper Cv, Mooreville, MS 38857-6012 2020-10-25
1124627690 Alison Denise Perryman Registered Nurse 4975 Highway 51 N, Senatobia, MS 38668-1714 2020-10-25
1891394821 Mandy Lynn Kwarsick Registered Nurse 708 Humphries Cove Rd, West Point, MS 39773-8215 2020-10-21
1821697111 Tenesha Coats Registered Nurse 176 Circle Rd, Taylorsville, MS 39168-4656 2020-10-19
1003414509 Katelyn Stalnaker Richardson Registered Nurse 160 N Brooks St, Pontotoc, MS 38863-1612 2020-10-15
1952915092 Missy Brown Foster Registered Nurse 5301 Kristy Ln, Southaven, MS 38671-7424 2020-09-05
1871106773 Mississippi Medical Relief Care, LLC Registered Nurse 199 Charmant Pl Ste 3b, Ridgeland, MS 39157-4358 2020-08-28
1063025062 Frederick Marvin Terry Registered Nurse 2135 Henry Hill Dr Ste 200, Jackson, MS 39204-2013 2020-08-28
1750993481 Niva Jamice King Alexander Registered Nurse 665 S Pear Orchard Road, Suite 106 #553, Ridgeland, MS 39157-4859 2020-08-24
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Competitor

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City HATTIESBURG
Zip Code 39401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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