Tyrone Osilesi

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

22648 Glenn Dr Ste 304
Sterling, VA 20164-4448

Phone

(571) 732-6800

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ibwii Group LLC

  • In Home Supportive Care Agency
  • Sterling, VA
  • NPI 1497407522
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1114596889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22648 GLENN DR STE 304",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644448",
            "telephone_number": "571-732-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22648 GLENN DR STE 304",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644448",
            "telephone_number": "571-732-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSILESI",
        "first_name": "TYRONE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace A Oluwadiya, RN
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• Orthopelvic Physical Therapy
• Zachary Orzell, DPT, PT
• Michael H Osman, M.D.
• Ossac Transportation LLC
• Rebekah Miller Overstreet, RD
• Nikita Owens
• Elizabeth Ann Ozalas, MA, LPC

• In Home Supportive Care Agency in Sterling, VA
• Providers in Sterling, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.