Healthcare Provider Details

I. General information

NPI: 1033524418
Provider Name (Legal Business Name): BURLINGAME CONSTRUCTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2014
Last Update Date: 09/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 SCARSBOROUGH RD
TOLEDO OH
43615-1609
US

IV. Provider business mailing address

3225 SCARSBOROUGH RD
TOLEDO OH
43615-1609
US

V. Phone/Fax

Practice location:
  • Phone: 419-351-3001
  • Fax: 419-841-5729
Mailing address:
  • Phone: 419-351-3001
  • Fax: 419-841-5729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. LEANDRO J BURLINGAME
Title or Position: PRESIDENT, BURLINGAME CONSTRUC. LLC
Credential:
Phone: 419-351-3001