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NPI Code Detail

MEDICARE: EMERY LEASING CO., LLC

MEDICARE: EMERY LEASING CO., LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1373NOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700877925
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERY LEASING CO., LLC
Provider Business Mailing Address
First Line : 4700 ASHWOOD DR
Second Line : SUITE 200
City : CINCINNATI
State : OH
Zip : 45241-2465
Country : US
Telephone Number : 513-489-7100
Fax Number : 513-530-1359
Provider Business Practice Location Address
First Line : 20265 EMERY RD
Second Line :
City : NORTH RANDALL
State : OH
Zip : 44128-4122
Country : US
Telephone Number : 216-475-8880
Fax Number : 216-587-4806
Authorized Official
Title or Position : DIR OF A/R
Name : MS. SANDRA K HUBBARD
Credential :
Telephone Number : 513-530-1327
Provider Enumeration Date : 11/04/2005
Last Update Date : 12/18/2008

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1093831729 — MS. OCTAVIA DESHAUN RICHARDSON LPTA
Practice Location Address:
20265 EMERY RD
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44128-4122
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Practice Fax:
1023134954 — MRS. FERN A SWEENEY-MARTIN LPTA
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1770600025 — TAMAR HARTMAN M.A.
Practice Location Address:
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Directions to “EMERY LEASING CO., LLC ” Practice Location

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