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LYCOMING LIFE LLC
NPI 1780519389
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Williamsport, PA

Active since June 15, 2026
901 MEMORIAL AVE, WILLIAMSPORT, PA 17701(570) 322-5433 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Lycoming Life Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYCOMING LIFE LLC (NPI 1780519389) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Williamsport, Pennsylvania and active in the NPI registry since June 2026. The organization lists Ryan Leahy, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1780519389
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameLYCOMING LIFE LLC
Location Address901 MEMORIAL AVEWilliamsport, PA 17701-4725
Mailing Address225 Crossways Park DrWoodbury, NY 11797-2083
Phone(570) 322-5433
Organization SubpartNo
Authorized OfficialRyan LeahyChief Financial Officer · (845) 235-6531
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1780519389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
901 MEMORIAL AVE, Williamsport, PA 17701
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE TEDESCO
Occupational Therapist (Physical Rehabilitation)
901 MEMORIAL AVE
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5433
KATHERINE ENGEL PA-C
Physician Assistant
901 MEMORIAL AVE
WILLIAMSPORT, PA 17701
Lycoming County (570) 322-5433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lycoming Life LLC's NPI number?

The NPI number for Lycoming Life LLC is 1780519389. It was assigned to this organization in the NPPES registry on June 15, 2026.

Where is Lycoming Life LLC located?

Lycoming Life LLC is located at 901 Memorial Ave, Williamsport, PA 17701. The listed phone number is (570) 322-5433.

What is Lycoming Life LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Lycoming Life LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.