LEGACY RESIDENTIAL PROGRAM
NPI 1003506171
Case Management in Philadelphia, PA

Active since May 11, 2023
2156 N 30TH ST, PHILADELPHIA, PA 19121(267) 315-5124(267) 324-3106 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Residential Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY RESIDENTIAL PROGRAM (NPI 1003506171), doing business as House Of Lilies, is a healthcare organization registered as a case management in Philadelphia, Pennsylvania and active in the NPI registry since May 2023. The organization lists Ashley Edwards, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003506171
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameLEGACY RESIDENTIAL PROGRAM
Location Address2156 N 30TH STPhiladelphia, PA 19121-1101
Mailing Address8480 Limekiln Pike Ph 5Wyncote, PA 19095-2816 · (267) 315-5124
Fax(267) 324-3106
Organization SubpartNo
Authorized OfficialAshley EdwardsCeo · (215) 397-7823
Enumeration DateMay 11, 2023
NPPES CertifiedMay 11, 2023
NPI 1003506171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
2156 N 30TH ST, Philadelphia, PA 19121

Other Names 1

Doing Business AsHouse Of Lilies

Other Identifiers 2

Medicaid1366151854DE
Medicaid1386342533PA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
2156 N 30TH ST
PHILADELPHIA, PA 19121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Residential Program's NPI number?

The NPI number for Legacy Residential Program is 1003506171. It was assigned to this organization in the NPPES registry on May 11, 2023. The provider is doing business as House of Lilies.

Where is Legacy Residential Program located?

Legacy Residential Program is located at 2156 N 30th St, Philadelphia, PA 19121. The listed phone number is (267) 315-5124.

What is Legacy Residential Program's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

When was this NPI record last updated?

The NPPES record for Legacy Residential Program was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.