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LILLIE TIDWELL
NPI 1639715121
Homemaker in Winter Haven, FL

Active since November 20, 2019
2332 ISLE ROYALE CT SE, WINTER HAVEN, FL 33880(863) 595-6212 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Aug 19, 2022, Aug 9, 2022 and 2 more (5 updates tracked since 2019).

About Lillie Tidwell NPPES

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

LILLIE TIDWELL (NPI 1639715121) is an individual homemaker provider in Winter Haven, Florida, licensed in Florida (104129000) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1639715121
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameLILLIE TIDWELL
Location Address2332 ISLE ROYALE CT SEWinter Haven, FL 33880-4325
Mailing Address2332 Isle Royale Ct SeWinter Haven, FL 33880-4325 · (863) 595-6212
Phone(863) 595-6212
Sole ProprietorYes
Enumeration DateNovember 20, 2019
Last NPPES UpdateNovember 3, 20225 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1639715121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
License✔ Licensed in FL · 104129000
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
2332 ISLE ROYALE CT SE, Winter Haven, FL 33880
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Other Identifiers 2

Medicaid104851900FL
Medicaid104129000FL

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 Tidwell's NPI number?

The NPI number for Lillie Tidwell is 1639715121. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Lillie Tidwell located?

Lillie Tidwell practices at 2332 Isle Royale Ct SE, Winter Haven, FL 33880. The listed phone number is (863) 595-6212.

What is Lillie Tidwell's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Lillie Tidwell was last updated on November 3, 2022. 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.