New Leaf Residential Services Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW LEAF RESIDENTIAL SERVICES INCORPORATED

Practice address

4740 Belmont Ave
Youngstown, OH 44505-1014

Phone

(330) 793-8582

Fax

(330) 793-8584

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Abbey Summers

Title

Cfo

Phone

(330) 793-8582

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1437548823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051014",
            "telephone_number": "330-793-8582",
            "fax_number": "330-793-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051014",
            "telephone_number": "330-793-8582",
            "fax_number": "330-793-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF RESIDENTIAL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-793-8582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2471936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.