Provider Demographics
NPI:1033524418
Name:BURLINGAME CONSTRUCTION, LLC
Entity Type:Organization
Organization Name:BURLINGAME CONSTRUCTION, LLC
Other - Org Name:HANDYPRO OF NW OHIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, BURLINGAME CONSTRUC. LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:LEANDRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURLINGAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-351-3001
Mailing Address - Street 1:3225 SCARSBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1609
Mailing Address - Country:US
Mailing Address - Phone:419-351-3001
Mailing Address - Fax:419-841-5729
Practice Address - Street 1:3225 SCARSBOROUGH RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1609
Practice Address - Country:US
Practice Address - Phone:419-351-3001
Practice Address - Fax:419-841-5729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4807598OtherDODD
OH0091664Medicaid