Organization Active NPI

Lylyse LLC

  • Home Health Agency
  • Centerville, OH
National Provider Identifier
1316746506
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LYLYSE LLC
Practice address
30 Bradstreet Rd Apt 7
Centerville, OH 45459-4546
Phone
(937) 313-9120
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Kofi Oppong, REGISTERED NURSE
Title
Director of Operation
Phone
(937) 313-9120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

30 Bradstreet Rd Apt 7
Centerville, OH 45459-4546

Mailing address

30 Bradstreet Rd Apt 7
Centerville, OH 45459-4546
Phone (937) 313-9120

Other practice location 1

30 Bradstreet Rd Apt 7
Centerville, OH 45459-4546
Phone (937) 313-9120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1316746506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRADSTREET RD APT 7",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594546",
            "telephone_number": "937-313-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRADSTREET RD APT 7",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594546",
            "telephone_number": "937-313-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Bradstreet Rd Apt 7",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594546",
            "country_code": "US",
            "telephone_number": "937-313-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYLYSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "OPPONG",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "937-313-9120",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.