Provider Demographics
NPI:1700292604
Name:DENISE PRESLEY
Entity Type:Organization
Organization Name:DENISE PRESLEY
Other - Org Name:BRING BACK THE HATS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-536-5848
Mailing Address - Street 1:1532 GLENWAY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-1118
Mailing Address - Country:US
Mailing Address - Phone:419-536-5848
Mailing Address - Fax:
Practice Address - Street 1:1532 GLENWAY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-1118
Practice Address - Country:US
Practice Address - Phone:419-536-5848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN305856276400000X, 282E00000X, 283Q00000X, 291U00000X, 310500000X, 315D00000X, 323P00000X, 385HR2050X, 385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No282E00000XHospitalsLong Term Care Hospital
No283Q00000XHospitalsPsychiatric Hospital
No291U00000XLaboratoriesClinical Medical Laboratory
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicaid