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NPI Code Detail

MEDICARE: PEARL LEASING CO., LLC

MEDICARE: PEARL 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
1314000000XSkilled Nursing Facility1365NOH

Other Identifiers

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

General Provider Information

NPI Number : 1841272762
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARL LEASING CO., LLC
Provider Business Mailing Address
First Line : 10123 ALLIANCE RD
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-4887
Country : US
Telephone Number : 513-530-1808
Fax Number :
Provider Business Practice Location Address
First Line : 6455 PEARL RD
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-2984
Country : US
Telephone Number : 440-888-5900
Fax Number : 440-888-0976
Authorized Official
Title or Position : SECRETARY / TREASURER
Name : CHARLES R STOLTZ
Credential :
Telephone Number : 513-530-1808
Provider Enumeration Date : 11/16/2005
Last Update Date : 05/01/2025

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1003940685 — MRS. DENISE ELLEN KULAS PTA
Practice Location Address:
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PARMA HEIGHTS, OH
44130-2984
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Practice Fax:
1538285630 — MARK KENNETH STIBLEY PHYSICAL THERAPIST
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1174642714 — MR. JEREMIAH HUDSON LPTA
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Directions to “PEARL LEASING CO., LLC ” Practice Location

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