Healthcare Provider Details

I. General information

NPI: 1518022573
Provider Name (Legal Business Name): LEVERING MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 03/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 NEW MARKET DR
DELAWARE OH
43015-2258
US

IV. Provider business mailing address

4 NEW MARKET DR
DELAWARE OH
43015-2258
US

V. Phone/Fax

Practice location:
  • Phone: 740-369-6400
  • Fax: 740-369-6401
Mailing address:
  • Phone: 740-369-6400
  • Fax: 740-369-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4423
License Number StateOH

VIII. Authorized Official

Name: MR. KEN LEVERING
Title or Position: ADMINISTRATOR
Credential:
Phone: 740-369-6400