Mt. Holly Leasing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100231 Issued in KY

Legal business name

MT. HOLLY LEASING, LLC

Practice address

446 Mount Holly Ave
Louisville, KY 40206-2125

Phone

(502) 897-1646

NPI assigned

Oct 13, 2016

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

(216) 367-1214

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": "1295285294",
    "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",
            "fax_number": "866-629-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MOUNT HOLLY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062125",
            "telephone_number": "502-897-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. HOLLY 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": "216-367-1214"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Moyer, MD
• Ronald Peter Moyer, MD
• Sarah Schuster Moyer, MD, MPH
• MP Pediatric OT, Inc
• Ketia Mpovila Mbiyavanga
• Mt. Lebanon Personal Care Home Inc.
• Heather J Mucci, ARNP
• Ada W Mucker, MSSW CSW ACSW
• Gloria Tinsley Mucker
• Kia Mucker, LCSW

• Skilled Nursing Facility in Louisville, KY
• Providers in Louisville, 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.