Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lilly J'S Housing & Services LLC

Organization Assisted Living Facility · NPI 1164177630

Lilly J'S Housing & Services LLC is an Assisted Living Facility in Fridley, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 63 1/2 Way NE
Fridley, MN 55432-4819
Phone: (612) 458-4545
Fax: (763) 205-2479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1164177630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalee Suckoo — Ceo · (612) 458-4545
Other names Lilly J'S Housing & Services L.L.C.
NPI enumeratedFebruary 14, 2022
Last updated in NPPESMarch 13, 2022
Certification dateMarch 13, 2022
Mailing address111 63 1/2 Way Ne, Fridley, MN 55432-4819

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