The Leach Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

8033A Issued in ND

Legal business name

THE LEACH HOME

Practice address

714 4TH St N
Wahpeton, ND 58075-3939

Phone

(701) 642-4283

Fax

(701) 642-1500

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara A Boock, LPN

Title

Administrator

Phone

(701) 642-4283

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1487929089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 4TH ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753939",
            "telephone_number": "701-642-4283",
            "fax_number": "701-642-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 4TH ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753939",
            "telephone_number": "701-642-4283",
            "fax_number": "701-642-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEACH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "BOOCK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-642-4283",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "ND",
            "license": "8033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Custodial Care Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.