Provider Demographics
NPI:1447317235
Name:LEVERING MANAGEMENT INC.
Entity type:Organization
Organization Name:LEVERING MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:LEVERING
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:740-397-4125
Mailing Address - Street 1:1076 COSHOCTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-1474
Mailing Address - Country:US
Mailing Address - Phone:704-397-4125
Mailing Address - Fax:740-392-1533
Practice Address - Street 1:1076 COSHOCTON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-1474
Practice Address - Country:US
Practice Address - Phone:704-397-4125
Practice Address - Fax:740-392-1533
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEVERING MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2514313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0167037Medicaid
OH0167037Medicaid