NPIMap

Organization Active NPI

St Leonard

  • Adult Care Home Facility
  • Centerville, OH
National Provider Identifier
1194237222
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ST LEONARD
Practice address
8100 Clyo Rd
Centerville, OH 45458-2720
Phone
(937) 433-0480
NPI assigned
Oct 30, 2017
Organization subpart
Yes
Parent organization
ST LEONARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Alisa Iffland
Title
VP of Finance
Phone
(567) 455-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

8100 Clyo Rd
Centerville, OH 45458-2720

Mailing address

5942 Renaissance PL Ste a
Toledo, OH 43623-4716
Phone (567) 455-0414

National Provider Directory

National Provider Directory
Tax ID family
St Leonard3 organizations share this tax ID, including this one
Part of
St Leonard

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1194237222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 RENAISSANCE PL STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234716",
            "telephone_number": "567-455-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582720",
            "telephone_number": "937-433-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LEONARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LEONARD",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "IFFLAND",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "567-455-0414"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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 Oct 30, 2017; 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.