Indiana Leasing Co., LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INDIANA LEASING CO., LLC

Practice address

1209 Indiana Ave
Saint Marys, OH 45885-1310

Phone

(419) 394-7611

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Charles R Stoltz

Title

Cfo

Phone

(513) 530-1613

Specialties & licenses 1

Addresses

Other names 1

• Grande Lake Healthcare Center Doing business as

Tax ID family

Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Indiana Leasing Co., LLC

  • Skilled Nursing Facility
  • Saint Marys, OH
  • NPI 1851899603
  NPD tax ID

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1326712902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR STE 200",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 INDIANA AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851310",
            "telephone_number": "419-394-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-530-1613"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grande Lake Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hope Cancer Center of Northwest Ohio
• Kari Houser, RPH
• Elizabeth Hoying, MS, RD, LD
• Krista E Huber, PA-C
• Sandra Hunter
• Indiana Leasing Co., LLC
• Keith David Jacobs, PHARMD
• John M. Price OD, Inc.
• Tina Marie Johnson
• Joint Township District Memorial Hospital

• Assisted Living Facility in Saint Marys, OH
• Providers in Saint Marys, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.