1417950486 NPI number — LEIMKUEHLER, INC.

Table of content: (NPI 1417950486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417950486 NPI number — LEIMKUEHLER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEIMKUEHLER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417950486
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/18/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4625 DETROIT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44102-2214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-651-7788
Provider Business Mailing Address Fax Number:
216-651-4057

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4625 DETROIT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44102-2214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-651-7788
Provider Business Practice Location Address Fax Number:
216-651-4057
Provider Enumeration Date:
05/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LEIMKUEHLER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
216-651-7788

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1417950486 . This is a "AARP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "HEALTH MANAGEMENT SOLUTIONS, INC." identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "UMR" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "SHEAKLEY UNICOMP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 5861114 . This is a "CIGNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "HUMANA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "1-888-OHIOCOMP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "3-HAB" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 745388 . This is a "BUCKEYE COMMUNITY HEALTH PLAN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 8466598 . This is a "AETNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: A338 . This is a "PARAMOUNT" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "CAREWORKS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "MUTUAL HEALTH SERVICES" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "VA - DEPARTMENT OF VETERANS AFFAIRS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "OSCAR" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 10124 . This is a "TRICARE OF LIFE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "COMPMANAGEMENT HEALTH SYSTEMS, INC." identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1417950486 . This is a "MOLINA HEALTHCARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 5084706 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000001554477 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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