Grande Lake Healthcare Center

LBN: Indiana Leasing Co., Llc
Grande Lake Healthcare Center is an health care organization with primary practice located at 1209 Indiana Ave , Saint Marys OH 45885-1310. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Indiana Leasing Co., Llc can be contacted via phone (419) 394-7611, or through Stoltz, Charles via phone (513) 530-1613.

Contact Information

Primary practice address
1209 Indiana Ave Saint Marys OH 45885-1310
Phone: (419) 394-7611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stoltz, Charles
Phone: (513) 530-1613

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1851899603
LBN Legal business name Indiana Leasing Co., Llc
DBA Doing business as Grande Lake Healthcare Center
Authorized official Stoltz, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2018
Last updated Sep 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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