Provider Demographics
NPI:1003797739
Name:LILLIE'S CAREGIVING SERVICES
Entity type:Organization
Organization Name:LILLIE'S CAREGIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-984-1267
Mailing Address - Street 1:6212 E PINE LN UNIT 2029
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8722
Mailing Address - Country:US
Mailing Address - Phone:720-984-1267
Mailing Address - Fax:
Practice Address - Street 1:6212 E PINE LN UNIT 2029
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8722
Practice Address - Country:US
Practice Address - Phone:720-984-1267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care