Organization Active NPI

Front Leasing Co., LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Berea, OH
National Provider Identifier
1679759377
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
25392 Issued in OH
Legal business name
FRONT LEASING CO., LLC
Practice address
255 Front St
Berea, OH 44017-1943
Phone
(440) 243-4000
Fax
(440) 891-3446
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Ms. Monica Renee Humbert
Title
Executive Assistant to Cfo
Phone
(513) 530-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 25392 OH Primary

Addresses

Primary practice location

255 Front St
Berea, OH 44017-1943

Mailing address

4700 Ashwood Dr
Suite 200
Cincinnati, OH 45241-2465
Phone (513) 489-7100

Other identifiers 2

IdentifierTypeStateIssuer
2607058MedicaidOH
4625750005OtherOHDMERC

Other names 1

  • Aristocrat Berea ICF/MR Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1679759377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412465",
            "telephone_number": "513-489-7100",
            "fax_number": "513-489-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171943",
            "telephone_number": "440-243-4000",
            "fax_number": "440-891-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "HUMBERT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO CFO",
        "authorized_official_telephone_number": "513-530-1622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "25392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2607058",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4625750005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aristocrat Berea ICF/MR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.