LILLY PAD HOME HEALTH, LLC (NPI# 1396250031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396250031 |
| Entity Type | Organization |
| Organization Name | LILLY PAD HOME HEALTH, LLC |
| Other Organization Name | LILLY PAD HOME HEALTH, LLC |
| Practice Address |
1507 Hardy St Ste 201 Hattiesburg MS 39401-4978 |
| Practice Telephone | 6014105836 |
| Practice Fax Number | 8884499560 |
| Mailing Telephone | 6014105836 |
| Mailing Fax Number | 8884499560 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | LATONYA HAILES (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 6013366114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171000000X | Military Health Care Provider | Other Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Lilly Pad Home Health, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942715289 | Lilly Pad Home Health, LLC | Respite Care | 11 North Water Street, Mobile, AL 36602 | 2017-12-08 |
| 1114414505 | Lilly Pad Home Health, LLC | Registered Nurse | 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 | 2018-04-20 |
| 1952898322 | Lilly Pad Home Health, LLC | Community/Behavioral Health | 1004 Adams St, Laurel, MS 39440-4365 | 2018-04-20 |
| Street Address |
1507 HARDY ST STE 201 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-4978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114414505 | Lilly Pad Home Health, LLC | Registered Nurse | 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 | 2018-04-20 |
| 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 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801362264 | Solution Journey Counseling, LLC | Community/Behavioral Health | 301 Humble Ave Ste 160, Hattiesburg, MS 39401-6343 | 2018-10-23 |
| 1801340799 | Providence Behavioral Health Services | Community/Behavioral Health | 5266 Old Highway 11 Ste 50, Hattiesburg, MS 39402-7818 | 2016-08-08 |
| 1982080388 | Golden Angels Adult Daycare, LLC | Community/Behavioral Health | 199 Mary Magdalene Rd, Hattiesburg, MS 39401-8435 | 2015-08-07 |
| 1255723854 | Deborah Ducksworth-williams | Community/Behavioral Health | 2000 W 4th St, Hattiesburg, MS 39401-4753 | 2015-02-19 |
| 1528457801 | His Global Kingdom Inc | Community/Behavioral Health | 607 Corinne St, C3, Hattiesburg, MS 39401-3831 | 2015-01-09 |
| 1013287390 | Albert William Eike | Community/Behavioral Health | 6130 Highway 49, Hattiesburg, MS 39401-7300 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738618 | 360inc. | Community/Behavioral Health | 8547 Highway 178, Byhalia, MS 38611-9670 | 2020-10-18 |
| 1407469141 | Life Seasons Counseling, LLC | Community/Behavioral Health | 116 N Columbia St, Pontotoc, MS 38863-2002 | 2020-08-24 |
| 1255959888 | Empowering Minds Counseling and Consultant Services,llc | Community/Behavioral Health | 1114 Robinson St # A, Ocean Springs, MS 39564-3842 | 2020-07-09 |
| 1194349795 | Creative Sisters Counseling LLC | Community/Behavioral Health | 134 Fairmont St Ste C, Clinton, MS 39056-4739 | 2020-05-31 |
| 1386272094 | Mississippi Behavioral Health Care, LLC | Community/Behavioral Health | 1312 Harrison Ave Ste C, Mccomb, MS 39648-2805 | 2020-03-29 |
| 1538703053 | Quest Fitness | Community/Behavioral Health | 1693 Lakeover Rd, Jackson, MS 39213-8015 | 2019-10-29 |
| 1265080576 | Health Connect America, Inc | Community/Behavioral Health | 104 Highway 15 N, New Albany, MS 38652-5313 | 2019-08-29 |
| 1326502535 | V.k. Johnson, Lcsw & Consultants, LLC | Community/Behavioral Health | 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 | 2019-01-22 |
| 1316412646 | Delta Counseling Services LLC | Community/Behavioral Health | 103 S Court St Ste 116, Cleveland, MS 38732-2651 | 2018-10-13 |
| 1194211128 | Valerie Freeman | Community/Behavioral Health | 2855 Highway 80 E, Pearl, MS 39208-3408 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.