Provider Demographics
NPI:1477707875
Name:LILY HOME CARE, LLC
Entity Type:Organization
Organization Name:LILY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LILIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-869-0806
Mailing Address - Street 1:2295 W MARKET ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6944
Mailing Address - Country:US
Mailing Address - Phone:330-869-0806
Mailing Address - Fax:
Practice Address - Street 1:2295 W MARKET ST
Practice Address - Street 2:SUITE L
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6944
Practice Address - Country:US
Practice Address - Phone:330-869-0806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care