LTC LEONARD LLC (NPI# 1063031698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063031698 |
| Entity Type | Organization |
| Organization Name | LTC LEONARD LLC |
| Other Organization Name | LTC WELCOME SOUTH |
| Practice Address |
303 W Prospect St Jackson MI 49203-4113 |
| Mailing Address |
2233 Tracy Rd Ste B Northwood OH 43619-1302 |
| Practice Telephone | 4196541973 |
| Practice Fax Number | 6165549581 |
| Mailing Telephone | 6162148011 |
| Mailing Fax Number | 6165549581 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | CHRISTOPHER M SCHOEN (VP) |
| Authorized Official Telephone | 6162148011 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESCRIPTION SUPPLY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| LTC Welcome South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174532592 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 303 W Prospect St, Jackson, MI 49203-4113 | 2006-08-05 |
| 1609885003 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 826 W Bellevue St, Leslie, MI 49251-9302 | 2006-08-05 |
| 1922070929 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 4646 Page Avenue, Michigan Center, MI 49254-1042 | 2006-02-03 |
| 1942829395 | Ltc Leonard LLC | Pharmacy | 826 W Bellevue St, Leslie, MI 49251-9302 | 2020-04-15 |
| 1356960983 | Ltc Leonard LLC | Pharmacy | 4646 Page Ave, Michigan Center, MI 49254-1042 | 2020-04-14 |
| Street Address |
303 W PROSPECT ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174532592 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 303 W Prospect St, Jackson, MI 49203-4113 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1972657179 | Teton County Hospital District | Pharmacy | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2007-01-23 |
| 1811075336 | Jackson Pharmacy Inc | Pharmacy | 200 W Washington St, Jackson, MO 63755-1858 | 2006-11-01 |
| 1710063276 | W.a. Foote Memorial Hospital, Inc. | Pharmacy | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-27 |
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| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
| 1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.