OrganizationActive
Lillie House
NPI 1104081942 · Adult Care Home Facility · Racine, WI
Lillie House is a Adult Care Home Facility organization in Racine, WI (NPI 1104081942).
Provider details
- NPI number
- 1104081942
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Les Higgenbottom, Psychotherapist(414) 732-4253
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4618 Kinzie Ave
Racine, WI 53405-2212
Phone: (262) 634-6781
Street-level locationGet directions
Mailing address
4618 Kinzie Ave
Racine, WI 53405-2212
Other names (DBA / former)
- Doing business as
- Lifes Vision LLC
Registry dates
- Enumerated
- 2008-07-21
- Last updated
- 2008-07-21
Frequently asked questions
- What is Lillie House's NPI number?
- Lillie House's National Provider Identifier (NPI) is 1104081942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lillie House?
- Lillie House is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Lillie House located?
- Lillie House's practice location on file with NPPES is 4618 Kinzie Ave, Racine, WI 53405-2212.
- What is Lillie House's phone number?
- The practice phone number listed in the NPPES registry for Lillie House is (262) 634-6781.
- Who is the authorized official for Lillie House?
- The authorized official listed on Lillie House's NPPES record is Les Higgenbottom, Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lillie House's NPI active?
- Yes — Lillie House's NPI (1104081942) is active in the NPPES registry as of the last update on 2008-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.