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1487566402 NPI number — LILLS LOVING CARE LLC

NPI Number: 1487566402
Health Care Provider/Practitioner: LILLS LOVING CARE LLC

Information about “1487566402” NPI (LILLS LOVING CARE LLC) exists in 1487566402 in HTML format HTML  |  1487566402 in plain Text format TXT  |  1487566402 in PDF (Portable Document Format) PDF  |  1487566402 in an XML format XML  formats.

NPI Number : 1487566402 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487566402",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LILLS LOVING CARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6207 COFFMAN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46268-2501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-746-2467",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6207 COFFMAN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46268-2501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-746-2467",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/22/2026",
    "LastUpdateDate": "09/22/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAYLOR",
    "AuthorizedOfficialFirstName": "WANDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "317-746-2467",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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