Healthcare Provider Details

I. General information

NPI: 1174506075
Provider Name (Legal Business Name): LEVERING MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 03/08/2021
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 WINCHESTER RD
MANSFIELD OH
44907-2042
US

IV. Provider business mailing address

70 WINCHESTER RD
MANSFIELD OH
44907-2042
US

V. Phone/Fax

Practice location:
  • Phone: 419-756-4747
  • Fax: 419-756-4237
Mailing address:
  • Phone: 419-756-4747
  • Fax: 419-756-4237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4525
License Number StateOH

VIII. Authorized Official

Name: WILLIAM BRUCE LEVERING
Title or Position: PRESIDENT/CEO
Credential:
Phone: 740-397-8940