Lilly J's Housing & Services L.L.C.
NPI 1164177630ActiveOrganization· Assisted Living Facility· Fridley, MN
Assisted Living Facility in Fridley, Minnesota, registered in NPPES in February 2022. The authorized official on file is Natalee Alexandra Suckoo, REGISTERED NURSE, Ceo.
Overview
| NPI | 1164177630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2022 |
| Last updated in NPPES | Mar 13, 2022 |
| Certified by provider | Mar 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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