Homestead LTC Leasing I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HOMESTEAD LTC LEASING I, LLC

Practice address

164 Liberty St
Painesville, OH 44077-3331

Phone

(440) 357-6181

Fax

(440) 357-1142

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Lynda Bower

Title

Cfo

Phone

(216) 831-6800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1508161233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5198 RICHMOND RD",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "441461331",
            "telephone_number": "216-831-6800",
            "fax_number": "216-831-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 LIBERTY ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773331",
            "telephone_number": "440-357-6181",
            "fax_number": "440-357-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD LTC LEASING I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-831-6800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorie Hoffman
• Zachary Hoffman
• Kathleen Holian, CRNA
• Homestead I Healthcare Group, LLC
• Homestead II Healthcare Group, LLC
• Homestead LTC Leasing II, LLC
• Tracsina Horton, LPN - IV
• Dennis J Horvath, DDS
• Janet House, M.A., CCC-SLP
• Steven Howard

• Skilled Nursing Facility in Painesville, OH
• Providers in Painesville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.