Provider Demographics
NPI:1780251306
Name:LILY'S ON CALL HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:LILY'S ON CALL HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:646-915-4031
Mailing Address - Street 1:124 WILMONT CT
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-6371
Mailing Address - Country:US
Mailing Address - Phone:646-915-4031
Mailing Address - Fax:
Practice Address - Street 1:237 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-1254
Practice Address - Country:US
Practice Address - Phone:646-915-4031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251J00000XAgenciesNursing Care