Organization Active NPI

Leeda Northeast, Inc.

  • Home Health Agency
  • Warren, OH
National Provider Identifier
1255959557
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEEDA NORTHEAST, INC.
Practice address
1441 Parkman Rd NW
Warren, OH 44485-2156
Phone
(330) 392-6006
Fax
(330) 392-6116
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Megan Sweeney
Title
Administrator Designee
Phone
(330) 392-6006

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Adult Day Care Clinic/Center 261QA0600X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1441 Parkman Rd NW
Warren, OH 44485-2156

Mailing address

1441 Parkman Rd NW
Warren, OH 44485-2156
Phone (330) 392-6006

Other identifiers 1

IdentifierTypeStateIssuer
7800482MedicaidOH

National Provider Directory

National Provider Directory

Locations

1441 Parkman Rd NW
Warren, OH 44485
Phone (330) 392-6006

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1255959557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852156",
            "telephone_number": "330-392-6006",
            "fax_number": "330-392-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852156",
            "telephone_number": "330-392-6006",
            "fax_number": "330-392-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEDA NORTHEAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR DESIGNEE",
        "authorized_official_telephone_number": "330-392-6006"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.