Healthcare Provider Details

I. General information

NPI: 1871432914
Provider Name (Legal Business Name): LIFESTYLE GARDENS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 W LYTLE 5 POINTS RD
SPRINGBORO OH
45066-9155
US

IV. Provider business mailing address

1325 W LYTLE 5 POINTS RD
SPRINGBORO OH
45066-9155
US

V. Phone/Fax

Practice location:
  • Phone: 937-672-5370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SEAN BARRY
Title or Position: OWNER
Credential:
Phone: 614-266-7638