Latin Enrichment Organization LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LATIN ENRICHMENT ORGANIZATION LLC

Doing business as

LEO Clinic

Practice address

54 Forest St
Hartford, CT 06105-3204

Phone

(860) 249-0975

NPI assigned

Jan 4, 2021

Last updated

May 18, 2023By 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

Carlos Marrero, MSW, ACSWNPI 1952723413

Title

Director

Phone

(860) 249-0975

Specialties & licenses 3

Addresses

Other names 1

• LEO Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

The Latin Enrichment Organization LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• The Latin Enrichment Organization

  dba LEO Clinic

  • Family Medicine Physician
  • Hartford, CT
  • NPI 1982290714
  NPD tax ID
• The Latin Enrichment Organization LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hartford, CT
  • NPI 1144101445
  NPD tax ID
• The Latin Enrichment Organization LLC

  • Clinic/Center
  • Hartford, CT
  • NPI 1689555989
  NPD tax ID
• The Latin Enrichment Organization LLC

  dba L.E.O. Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1902298193
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaina Barr

  • Family Nurse Practitioner
  • Bloomfield, CT
  • NPI 1336628718
  Medicare reassignment NPD
• Carlos Marrero, LCSW, GAL, EDD

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1952723413
  Authorized official Same address or phone

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1356939656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380322",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061380322",
            "telephone_number": "860-249-0975",
            "fax_number": "860-249-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FOREST ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053204",
            "telephone_number": "860-249-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN ENRICHMENT ORGANIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-249-0975",
        "authorized_official_credential": "MSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEO Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEO Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leann Laspino, CRNA
• Jennifer Elana Lassman
• Marshall Nathan Lassman, MD
• Dylan Latella, PA-C
• Latin Enrichment Organization
• Heather Murray Latin, PH.D.
• Latino Community Services, Inc.
• Latino Community Services, Inc.
• Latino Community Services, Inc.
• Joy B Latvis, RN, MSN APRN FNP-C

• Primary Care Clinic/Center in Hartford, CT
• Providers in Hartford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.