Healthcare Provider Details

I. General information

NPI: 1376500520
Provider Name (Legal Business Name): BRIARWOOD LEASING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 ENGLEWOOD DRIVE
STOW OH
44224
US

IV. Provider business mailing address

29225 CHAGRIN BLVD. SUITE 230
CLEVELAND OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 330-688-1828
  • Fax: 330-688-2071
Mailing address:
  • Phone: 440-658-1040
  • Fax: 330-688-2071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number4447
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number4448
License Number StateOH

VIII. Authorized Official

Name: ELI M. GUNZBURG
Title or Position: MANAGING MEMBER
Credential:
Phone: 440-658-1040