Ledingham Enterprises No. 3, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1179 Issued in OH

Legal business name

LEDINGHAM ENTERPRISES NO. 3, INC.

Practice address

4734 Gallia Pike
Franklin Furnace, OH 45629-8600

Phone

(740) 354-9113

Fax

(740) 354-9096

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Ledingham

Title

Owner and Administrator

Phone

(740) 354-9113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fountainhead Nursing Home Doing business as

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780744664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 GALLIA PIKE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298600",
            "telephone_number": "740-354-9113",
            "fax_number": "740-354-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 GALLIA PIKE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298600",
            "telephone_number": "740-354-9113",
            "fax_number": "740-354-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDINGHAM ENTERPRISES NO. 3, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDINGHAM",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER AND ADMINISTRATOR",
        "authorized_official_telephone_number": "740-354-9113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2891634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountainhead Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davina Johnson, CDCA
• Lindsay Johnson, LPN
• Bethenny Jade Kilgore, PCT
• Melissa Jane Kilpatrick, LPN
• Ramona F Lauer, RN
• Crystal Love
• Dayna Lowman
• Darren Michael Martin, LPTA
• Tyler David Massie
• Brittney McComis, LPN

• Skilled Nursing Facility in Franklin Furnace, OH
• Providers in Franklin Furnace, 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 Aug 22, 2020; 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.