Organization Active NPI

Lilly Mae Services for Individuals With Developmental Disabilities

  • Homemaker
  • Cincinnati, OH
National Provider Identifier
1679404206
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
LILLY MAE SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Practice address
260 Northland Blvd Ste 216
Cincinnati, OH 45246-3651
Phone
(513) 227-6573
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Mr. Kenneth Andre Bryant Jr., DO
Title
Ceo, Doo
Phone
(513) 227-6573

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

260 Northland Blvd Ste 216
Cincinnati, OH 45246-3651

Mailing address

2358 Magdalena Dr
Cincinnati, OH 45231-2261
Phone (513) 227-6573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1679404206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 MAGDALENA DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312261",
            "telephone_number": "513-227-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NORTHLAND BLVD STE 216",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463651",
            "telephone_number": "513-227-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY MAE SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "CEO, DOO",
        "authorized_official_telephone_number": "513-227-6573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.