Provider Demographics
NPI:1518022573
Name:LEVERING MANAGEMENT, INC.
Entity type:Organization
Organization Name:LEVERING MANAGEMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-369-6400
Mailing Address - Street 1:4 NEW MARKET DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2258
Mailing Address - Country:US
Mailing Address - Phone:740-369-6400
Mailing Address - Fax:740-369-6401
Practice Address - Street 1:4 NEW MARKET DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2258
Practice Address - Country:US
Practice Address - Phone:740-369-6400
Practice Address - Fax:740-369-6401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEVERING MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-27
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4423314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0597939Medicaid
OH0597939Medicaid