Vanceburg Leasing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100511 Issued in KY

Legal business name

VANCEBURG LEASING, LLC

Practice address

58 Eastham St
Vanceburg, KY 41179-5462

Phone

(606) 796-3046

NPI assigned

Oct 13, 2016

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli M Gunzburg

Title

Manager

Phone

(440) 658-1040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1205386208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29225 CHAGRIN BLVD",
            "address_2": "STE 230",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224645",
            "telephone_number": "216-367-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 EASTHAM ST",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411795462",
            "telephone_number": "606-796-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCEBURG LEASING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "GUNZBURG",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-658-1040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven H Sutter, MD
• Rebecca Jean Tackett
• Shaina C Theis, LCSW
• Steven D Thomas, PTA
• Vanceburg Hills, LLC
• Vanceburg Rehab and Care, LLC
• Lauren Vaughn, PTA
• Tommy Vonluhrte, DO
• Cassandra C Wampler, MD
• Gwen D Webb, NP

• Skilled Nursing Facility in Vanceburg, KY
• Providers in Vanceburg, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.