Healthcare Provider Details

I. General information

NPI: 1215110994
Provider Name (Legal Business Name): GARDEN II LEASING CO., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 GARDEN LAKE PKWY
TOLEDO OH
43614-2779
US

IV. Provider business mailing address

10123 ALLIANCE RD
BLUE ASH OH
45242-4887
US

V. Phone/Fax

Practice location:
  • Phone: 419-381-0037
  • Fax: 419-381-3990
Mailing address:
  • Phone: 513-530-1808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number1477
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number1477
License Number StateOH

VIII. Authorized Official

Name: CHARLES R STOLTZ
Title or Position: TREASURER
Credential:
Phone: 513-530-1808