Provider Demographics
NPI:1922548213
Name:LILIES OF HOPE HOME CARE LLC
Entity Type:Organization
Organization Name:LILIES OF HOPE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGIRT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-668-0031
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-0073
Mailing Address - Country:US
Mailing Address - Phone:910-668-0031
Mailing Address - Fax:910-668-0030
Practice Address - Street 1:508 E 3RD ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-7988
Practice Address - Country:US
Practice Address - Phone:910-668-0031
Practice Address - Fax:910-668-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4837253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care