DBA
NPI 1952898322
Community/Behavioral Health in Laurel, MS

Active since April 20, 2018
1004 ADAMS ST, LAUREL, MS 39440(601) 342-2461(888) 449-9560 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About DBA

This page provides the complete NPI Profile along with additional information for Dba, a provider established in Laurel, Mississippi operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1952898322 assigned on April 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Dba. The authorized official of this NPI record is Latonya Hailes (Adminstrator)

NPI
1952898322 Verify this NPI
Provider Legal Name
LILLY PAD HOME HEALTH, LLC
Other Organization Name
DBA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1004 ADAMS ST LAUREL, MS 39440
Location Phone
(601) 342-2461
Location Fax
(888) 449-9560
Mailing Address
1507 HARDY ST STE 201 HATTIESBURG, MS 39401
Mailing Phone
(601) 336-6114
Mailing Fax
(888) 449-9560
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2018
Last Update Date
04-20-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LATONYA HAILES

Authorized Official Title
ADMINSTRATOR
Authorized Official Phone
(601) 336-6114

Reviews for DBA

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Adult Day Care)
1004 ADAMS ST
LAUREL, MS 39440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952898322, enumerated as an "organization" on April 20, 2018.

The provider is located at 1004 ADAMS ST LAUREL, MS 39440 and the phone number is (601) 342-2461.

Community/Behavioral Health with taxonomy code 251S00000X.