Healthcare Provider Details

I. General information

NPI: 1679420707
Provider Name (Legal Business Name): LUX BENEDICTA HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 S LYNHURST DR STE 106
INDIANAPOLIS IN
46241-5100
US

IV. Provider business mailing address

8208 CAGLES MILL TRCE
AVON IN
46123-5912
US

V. Phone/Fax

Practice location:
  • Phone: 463-288-0081
  • Fax:
Mailing address:
  • Phone: 463-288-0081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. OLADELE OLADIMEJI OYEDELE
Title or Position: CEO
Credential: PHD, RN
Phone: 463-288-0081