Organization Active NPI

LTC Leonard LLC

Doing business as LTC Welcome Michigan Center

  • Long Term Care Pharmacy
  • Michigan Center, MI
National Provider Identifier
1356960983
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LTC LEONARD LLC
Doing business as
LTC Welcome Michigan Center
Practice address
4646 Page Ave
Michigan Center, MI 49254-1042
Phone
(419) 654-1973
Fax
(616) 554-9581
NPI assigned
Apr 14, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESCRIPTION SUPPLY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Christopher M Schoen
Title
VP
Phone
(616) 214-8011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

4646 Page Ave
Michigan Center, MI 49254-1042

Mailing address

2233 Tracy Rd Ste B
Northwood, OH 43619-1302
Phone (616) 214-8011

Other names 2

  • LTC Welcome Michigan Center Doing business as
  • LTC LEONARD LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
LTC Leonard LLC3 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.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1356960983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 TRACY RD STE B",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436191302",
            "telephone_number": "616-214-8011",
            "fax_number": "616-554-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 PAGE AVE",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541042",
            "telephone_number": "419-654-1973",
            "fax_number": "616-554-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC LEONARD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESCRIPTION SUPPLY INC",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "SCHOEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "616-214-8011"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC Welcome Michigan Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LTC LEONARD LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Michigan Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.