MEDICARE: BELMORE LEASING CO., LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	1426N	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689659542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELMORE LEASING CO., LLC

Provider Business Mailing Address
First Line	:	4700 ASHWOOD DR
Second Line	:	SUITE 200
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2465
Country	:	US
Telephone Number	:	513-489-7100
Fax Number	:	513-530-1359

Provider Business Practice Location Address
First Line	:	1835 BELMORE RD
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-4301
Country	:	US
Telephone Number	:	216-268-3600
Fax Number	:	216-761-1322

Authorized Official
Title or Position	:	DIR OF A/R
Name	:	MS. SANDRA K HUBBARD
Credential	:
Telephone Number	:	513-530-1327

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	12/18/2008

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