LILLY OF THE VALLEY LLC – NPI #1457079444
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

LILLY OF THE VALLEY LLC is a community based residential treatment facility located in CLIFFSIDE PARK, NJ. NPPES has assigned the NPI number 1457079444 to LILLY OF THE VALLEY LLC on August 16, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LILLY OF THE VALLEY LLC below.

NPI Profile for
LILLY OF THE VALLEY LLC

NPI Number
1457079444
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LILLY OF THE VALLEY LLC
Primary location
1 TOWNE CENTRE DRIVE
SUITE 302
CLIFFSIDE PARK, NJ 07010-2050
Phone: (267) 902-2343 Fax:
Mailing address
555 S GODDARD BLVD APT 434
KING OF PRUSSIA, PA 19406-1987
Phone: Fax:
Organization Subpart
No
Authorized Official
SHANICE JENKINS
CEO
Phone: (267) 902-2343
Updated
Certification Date
Aug 16, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.