Active NPI
St Leonard
- Skilled Nursing Facility
- Dayton, OH
National Provider Identifier
1710713045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ST LEONARD
- Practice address
- 8100 Clyo Rd
Dayton, OH 45458-2720 - Phone
- (937) 433-0480
- NPI assigned
- Sep 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Wine
- Title
- Director of Ancillary Contracting
- Phone
- (513) 562-7202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8100 Clyo Rd
Dayton, OH 45458-2720
Mailing address
8100 Clyo Rd
Dayton, OH 45458-2720
National Provider Directory
National Provider Directory- Tax ID family
- St Leonard
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Centerville, OH
- NPI 1194237222
-
- Nursing Facility/Intermediate Care Facility
- Centerville, OH
- NPI 1851387047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726099200000",
"number": "1710713045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 CLYO RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454582720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 CLYO RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454582720",
"telephone_number": "937-433-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LEONARD",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A",
"authorized_official_last_name": "WINE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR OF ANCILLARY CONTRACTING",
"authorized_official_telephone_number": "513-562-7202"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.