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LILLY J'S HOUSING & SERVICES L.L.C.
NPI 1164177630
Assisted Living Facility in Fridley, MN

Active since February 14, 2022
111 63 1/2 WAY NE, FRIDLEY, MN 55432(612) 458-4545(763) 205-2479 Get Directions Write a Review

NPPES record last updated: March 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2022, Feb 16, 2022 (2 updates tracked since 2022).

About Lilly J's Housing & Services L.l.c. NPPES

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

LILLY J'S HOUSING & SERVICES L.L.C. (NPI 1164177630) is a healthcare organization registered as an assisted living facility in Fridley, Minnesota and active in the NPI registry since February 2022. The organization lists Natalee Alexandra Suckoo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164177630
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLILLY J'S HOUSING & SERVICES L.L.C.
Location Address111 63 1/2 WAY NEFridley, MN 55432-4819
Mailing Address111 63 1/2 Way NeFridley, MN 55432-4819 · (612) 458-4545 · Fax (763) 205-2479
Phone(612) 458-4545
Fax(763) 205-2479
Organization SubpartNo
Authorized OfficialNatalee Alexandra SuckooCeo · (612) 458-4545
Enumeration DateFebruary 14, 2022
Last NPPES UpdateMarch 13, 20222 updates tracked since enumeration
NPPES CertifiedMarch 13, 2022
✔ NPI 1164177630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
111 63 1/2 WAY NE, Fridley, MN 55432
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Other Names 1

Doing Business AsLilly J's Housing & Services L.l.c.

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 J's Housing & Services L.L.C.'s NPI number?

The NPI number for Lilly J's Housing & Services L.L.C. is 1164177630. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is Lilly J's Housing & Services L.L.C. located?

Lilly J's Housing & Services L.L.C. is located at 111 63 1/2 Way NE, Fridley, MN 55432. The listed phone number is (612) 458-4545.

What is Lilly J's Housing & Services L.L.C.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Lilly J's Housing & Services L.L.C. was last updated on March 13, 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.