Provider Demographics
NPI:1417115007
Name:CARNEY-LEISING INC
Entity Type:Organization
Organization Name:CARNEY-LEISING INC
Other - Org Name:OHIO ACCESS PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEISING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-678-9448
Mailing Address - Street 1:2204 TALLMADGE RD
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-9586
Mailing Address - Country:US
Mailing Address - Phone:330-678-9448
Mailing Address - Fax:330-677-6682
Practice Address - Street 1:2204 TALLMADGE RD
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-9586
Practice Address - Country:US
Practice Address - Phone:330-678-9448
Practice Address - Fax:330-677-6682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0745797Medicaid
OH7600144OtherODMR/DD CONTRACT NUMBER