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Lilac Holdings, LLC

Skilled Nursing Facility in San Diego, CA · enumerated 2006 · authorized official John Mitchell, Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255499174

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Registry record

Entity type Organization (Type 2)
Legal business name Lilac Holdings, LLC
Other name <Unavail>
Practice address 6061 Banbury St, San Diego, CA, 92139
Fax (619) 479-5197
Enumeration date Dec 4, 2006
Last updated in NPPES Aug 6, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name John Mitchell
Title Secretary

Other identifiers

Identifier Type State Issuer
1255499174 Medicaid CA -
ZZT18684G Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lilac Holdings, LLC?
The NPI for Lilac Holdings, LLC is 1255499174, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lilac Holdings, LLC?
NPPES lists John Mitchell (Secretary) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-06.