=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407662711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEAN ON ME HEALTHCARE SERVICES, LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2024
-----------------------------------------------------
Last Update Date | 01/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1111 MCDONALD ST
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43612-1732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-464-2688
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1111 MCDONALD ST
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43612-1732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-464-2688
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ANISSA SEABRON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-464-2688
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------