Provider Demographics
NPI:1174506075
Name:LEVERING MANAGEMENT, INC.
Entity Type:Organization
Organization Name:LEVERING MANAGEMENT, INC.
Other - Org Name:WINCHESTER TERRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:LEVERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-397-8940
Mailing Address - Street 1:70 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2042
Mailing Address - Country:US
Mailing Address - Phone:419-756-4747
Mailing Address - Fax:419-756-4237
Practice Address - Street 1:70 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2042
Practice Address - Country:US
Practice Address - Phone:419-756-4747
Practice Address - Fax:419-756-4237
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEVERING MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-23
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4525314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0970927Medicaid
OH365911Medicare Oscar/Certification