Emery Leasing Co., LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1373N Issued in OH

Legal business name

EMERY LEASING CO., LLC

Practice address

20265 Emery Rd
North Randall, OH 44128-4122

Phone

(216) 475-8880

Fax

(216) 587-4806

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sandra K Hubbard

Title

Dir of a/R

Phone

(513) 530-1327

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suburban Pavilion Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1700877925",
    "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": "513-530-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 EMERY RD",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284122",
            "telephone_number": "216-475-8880",
            "fax_number": "216-587-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR OF A/R",
        "authorized_official_telephone_number": "513-530-1327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1373N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2564532",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Pavilion Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantal A Childress, LPN
• Citie One Family Practice
• Cole Vision Corporation
• Shayna Davis, CFY-SLP
• Joseph I. Disser, RN, NP-C
• Jenifer M. Eubanks, CNP
• Shiamyra Graham
• Tamar Hartman, M.A.
• Samuel Holmes
• Vincent Keith Hunt

• Skilled Nursing Facility in North Randall, OH
• Providers in North Randall, 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 Dec 18, 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.