Provider Demographics
NPI:1609275353
Name:LILLIAN'S CARE, INC.
Entity type:Organization
Organization Name:LILLIAN'S CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:THROWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-686-5665
Mailing Address - Street 1:1367 ANCHOR ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-1203
Mailing Address - Country:US
Mailing Address - Phone:267-686-5665
Mailing Address - Fax:267-543-7660
Practice Address - Street 1:1367 ANCHOR ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1203
Practice Address - Country:US
Practice Address - Phone:267-686-5665
Practice Address - Fax:267-543-7660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103009011-0001Medicaid