Healthcare Provider Details

I. General information

NPI: 1649174517
Provider Name (Legal Business Name): LEUBH HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 OLD ROSWELL LAKES PKWY STE 230
ROSWELL GA
30076-1667
US

IV. Provider business mailing address

800 OLD ROSWELL LAKES PKWY STE 230
ROSWELL GA
30076-1667
US

V. Phone/Fax

Practice location:
  • Phone: 404-271-7424
  • Fax:
Mailing address:
  • Phone: 404-271-7424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JONATHAN LANCE PRESLEY I
Title or Position: CEO
Credential:
Phone: 404-271-7424