L.E.E.D.a. Services, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0615034 Issued in OH

Legal business name

L.E.E.D.A. SERVICES, INC.

Practice address

1608 Forest Avenue SE
Massillon, OH 44647-6576

Phone

(330) 833-7993

Fax

(330) 833-7732

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Connie A Hornbeck

Title

Business Manager

Phone

(330) 833-7993

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Leeda Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• L.E.E.D.a. Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Massillon, OH
  • NPI 1912103433
  NPD tax ID
• L.E.E.D.a. Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Millersburg, OH
  • NPI 1942301767
  NPD tax ID

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1316142466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LINCOLN WAY W STE 5A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476576",
            "telephone_number": "330-833-7993",
            "fax_number": "330-833-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 FOREST AVENUE SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476576",
            "telephone_number": "330-833-7993",
            "fax_number": "330-833-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.E.E.D.A. SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "HORNBECK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "330-833-7993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "0615034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615034",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Kruse
• Barbara Kuhlins
• Anthony James Kulton
• Joseph Louis Kwitkowski, PHARMD, RPH
• Amy Kyner, CRNP
• L.E.E.D.a. Services, Inc.
• Mouhamed Rahis Lababidi, MD
• Mark W Lafferty, MD
• Tina M Lake, LSW
• Kassidy Lamb, QMHS

• Intellectual Disabilities Intermediate Care Facility in Massillon, OH
• Providers in Massillon, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.