LILLY IN THE VALLEY LLC
NPI 1053055525
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cliffside Park, NJ

Active since April 21, 2022
1 TOWNE CTR APT 302, CLIFFSIDE PARK, NJ 07010(718) 964-3545 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2022, Apr 21, 2022 (2 updates tracked since 2022).

About Lilly In The Valley Llc NPPES

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

LILLY IN THE VALLEY LLC (NPI 1053055525) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Cliffside Park, New Jersey and active in the NPI registry since April 2022. The organization lists Shanice Jenkins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053055525
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameLILLY IN THE VALLEY LLC
Location Address1 TOWNE CTR APT 302Cliffside Park, NJ 07010-2050
Mailing Address555 S Goddard Blvd Apt 434King Of Prussia, PA 19406-1987
Organization SubpartNo
Authorized OfficialShanice JenkinsCeo · (267) 902-2343
Enumeration DateApril 21, 2022
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
NPI 1053055525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1 TOWNE CTR APT 302, Cliffside Park, NJ 07010

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 Lilly In The Valley LLC's NPI number?

The NPI number for Lilly In The Valley LLC is 1053055525. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Lilly In The Valley LLC located?

Lilly In The Valley LLC is located at 1 Towne Ctr Apt 302, Cliffside Park, NJ 07010. The listed phone number is (718) 964-3545.

What is Lilly In The Valley LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Lilly In The Valley LLC was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.