LILLY PAD HOME HEALTH, LLC
NPI 1396250031
Community/Behavioral Health in Hattiesburg, MS

Q: What is Lilly Pad Home Health, LLC's NPI number?

The NPI number for Lilly Pad Home Health, LLC is 1396250031. It was assigned to this organization in the NPPES registry on December 4, 2017.

Q: What is Lilly Pad Home Health, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 04, 2017

1507 HARDY ST STE 201, HATTIESBURG, MS 39401(601) 410-5836(888) 449-9560 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2019, Dec 4, 2017 (2 updates tracked since 2017).

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About Lilly Pad Home Health, Llc NPPES

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

LILLY PAD HOME HEALTH, LLC (NPI 1396250031) is a healthcare organization registered as a community/behavioral health in Hattiesburg, Mississippi and active in the NPI registry since December 2017. The organization lists Latonya Hailes, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1396250031

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLILLY PAD HOME HEALTH, LLC

Location Address1507 HARDY ST STE 201Hattiesburg, MS 39401-4978

Mailing Address1507 Hardy St Ste 201Hattiesburg, MS 39401-4978 · (601) 410-5836 · Fax (888) 449-9560

Phone(601) 410-5836

Fax(888) 449-9560

Organization SubpartNo

Authorized OfficialLatonya HailesCeo/administrator · (601) 336-6114

Enumeration DateDecember 4, 2017

Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration

✔ NPI 1396250031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedHomemakerTaxonomy 376J00000X

Also ListedRespite CareTaxonomy 385H00000X

1507 HARDY ST STE 201, Hattiesburg, MS 39401

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Other Names 1

Former Legal Business NameLilly Pad Home Health, Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Lilly Pad Home Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lilly Pad Home Health, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Carla Rawls, LPC, NCC, NCSC

Mental Health Counselor

NPI 1568036150

607 CORINNE ST STE C3
Hattiesburg, MS 39401

(601) 336-0805

✔ PECOS✔ Accepts Medicare0.9 mi

Shuntay Mccormick

Nurse Practitioner

NPI 1467931642

163 AUGUSTINE DR
Hattiesburg, MS 39402

(601) 467-6281

✔ PECOS4.8 mi

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 Lilly Pad Home Health, LLC's NPI number?

The NPI number for Lilly Pad Home Health, LLC is 1396250031. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Lilly Pad Home Health, LLC located?

Lilly Pad Home Health, LLC is located at 1507 Hardy St Ste 201, Hattiesburg, MS 39401. The listed phone number is (601) 410-5836.

What is Lilly Pad Home Health, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Lilly Pad Home Health, LLC enrolled in Medicare?

Yes. Lilly Pad Home Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lilly Pad Home Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lilly Pad Home Health, LLC, in Mental Health Counselor and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lilly Pad Home Health, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Lilly Pad Home Health, LLC 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 Lilly Pad Home Health, LLC was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.