Provider Demographics
NPI:1598069023
Name:LILY HOME HEALTH INC
Entity Type:Organization
Organization Name:LILY HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MR
Authorized Official - First Name:NORBERT
Authorized Official - Middle Name:EMEKA
Authorized Official - Last Name:EMERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-977-0157
Mailing Address - Street 1:1601 MAIN STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7312
Mailing Address - Country:US
Mailing Address - Phone:281-977-0157
Mailing Address - Fax:281-806-5967
Practice Address - Street 1:3104 ORCHARD BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7312
Practice Address - Country:US
Practice Address - Phone:979-253-4938
Practice Address - Fax:281-764-8740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013955251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX366451801Medicaid
TX001028662OtherPAS