Active NPI
L.E.E.D.a. Services, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Millersburg, OH
National Provider Identifier
1942301767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- L.E.E.D.A. SERVICES, INC.
- Practice address
- 5650 TR 332
Millersburg, OH 44654-8330 - Phone
- (330) 833-7993
- Fax
- (330) 833-7732
- NPI assigned
- Sep 26, 2006
- 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
- Mrs. Connie A Hornbeck
- Title
- Business Manager
- Phone
- (330) 833-7993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | OH | Primary |
Addresses
Primary practice location
5650 TR 332
Millersburg, OH 44654-8330
Mailing address
11 Lincoln Way W Ste 5a
Massillon, OH 44647-6576
Phone (330) 833-7993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0610066 | Other | OH | CONTRACT PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Leeda Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Massillon, OH
- NPI 1316142466
-
- Intellectual Disabilities Intermediate Care Facility
- Massillon, OH
- NPI 1912103433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186012800000",
"number": "1942301767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LINCOLN WAY W STE 5A",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446476576",
"telephone_number": "330-833-7993",
"fax_number": "330-833-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 TR 332",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446548330",
"telephone_number": "330-833-7993",
"fax_number": "330-833-7732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L.E.E.D.A. SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2007-08-02",
"status": "A",
"authorized_official_last_name": "HORNBECK",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "330-833-7993",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTRACT PROVIDER NUMBER",
"identifier": "0610066",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.