LILY HEALTHCARE SERVICE (NPI# 1417564410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417564410 |
| Entity Type | Organization |
| Organization Name | LILY HEALTHCARE SERVICE |
| Practice Address |
4290 Ridgestone Dr Apt 5 Memphis TN 38128-1837 |
| Practice Telephone | 9012058656 |
| Mailing Telephone | 9012058656 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | DINEKA THOMAS (OWNER) |
| Authorized Official Telephone | 9012058656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lily Healthcare Service | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LILY HEALTHCARE SERVICES,LLC | 707 W Raines Rd, Memphis, TN 38109-4337 |
| Street Address |
4290 RIDGESTONE DR APT 5 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124486154 | Loving Arms, Inc | Assisted Living Facility | 3310 Lockmeade Dr, Memphis, TN 38127-6762 | 2016-02-04 |
| 1316302367 | Legacy Il Operating Co, LLC | Assisted Living Facility | 6539 Knight Arnold Road, Memphis, TN 38115-0697 | 2015-12-17 |
| 1902284060 | Ridgemont Manor, Inc | Assisted Living Facility | 3805 Ridgemont Rd, Memphis, TN 38128-1948 | 2015-05-09 |
| 1073941993 | Audrey Dionne Dillon | Assisted Living Facility | 3679 Ford Rd, Memphis, TN 38109-3614 | 2013-10-31 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1649544701 | Riverdale Assisted Living Facility | Assisted Living Facility | 6880 E Raines Rd, Memphis, TN 38115-5404 | 2012-03-06 |
| 1952548125 | Memphis Kg Property, LLC | Assisted Living Facility | 6480 Quince Rd, Memphis, TN 38119-8222 | 2009-01-09 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1629224787 | Mahan House | Assisted Living Facility | 4005 N Watkins St, Memphis, TN 38127-4362 | 2008-08-08 |
| 1770784688 | Angelcity Corporation | Assisted Living Facility | 3385 Airways Blvd, Suite 119, Memphis, TN 38116-3841 | 2007-05-29 |
| Find all providers in MEMPHIS | ||||
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| 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.