LILLIE'S HOME, INC.
NPI 1124856158
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cleveland, OH
About Lillie's Home, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILLIE'S HOME, INC. (NPI 1124856158) is a healthcare organization registered as a mental health (including community mental health center) in Cleveland, Ohio and active in the NPI registry since July 2024. The organization lists Tamika Moore, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lillie's Home, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lillie's Home, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lillie's Home, Inc.'s NPI number?
The NPI number for Lillie's Home, Inc. is 1124856158. It was assigned to this organization in the NPPES registry on July 22, 2024.
Where is Lillie's Home, Inc. located?
Lillie's Home, Inc. is located at 11811 Shaker Blvd Ste 204 #1168, Cleveland, OH 44120. The listed phone number is (216) 200-6727.
What is Lillie's Home, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Lillie's Home, Inc. enrolled in Medicare?
Yes. Lillie's Home, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lillie's Home, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Lillie's Home, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lillie's Home, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Lillie's Home, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lillie's Home, Inc. was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lillie's Home, Inc. · NPI 1124856158
Mental Health (Including Community Mental Health Center) organization in Cleveland, Ohio. Organization record, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1124856158 (Entity type: Organization)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Tamika Moore, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 11811 SHAKER BLVD, STE 204 #1168, Cleveland, OH 44120-1927
- **Phone:** (216) 200-6727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124856158) · Data from the CMS NPPES public registry.