Organization Active NPI

L.E.E.D.a. Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Millersburg, OH
National Provider Identifier
1942301767
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
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

Updated by the provider on Aug 2, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0610066OtherOHCONTRACT PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Leeda Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.