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INDIANA LEASING CO., LLC
NPI 1326712902
Assisted Living Facility in Saint Marys, OH

Active since August 06, 2021
1209 INDIANA AVE, SAINT MARYS, OH 45885(419) 394-7611 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indiana Leasing Co., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIANA LEASING CO., LLC (NPI 1326712902), doing business as Grande Lake Healthcare Center, is a healthcare organization registered as an assisted living facility in Saint Marys, Ohio and active in the NPI registry since August 2021. The organization lists Charles R Stoltz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326712902
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameINDIANA LEASING CO., LLC
Location Address1209 INDIANA AVESaint Marys, OH 45885-1310
Mailing Address4700 Ashwood Dr Ste 200Blue Ash, OH 45241-2424
Phone(419) 394-7611
Organization SubpartNo
Authorized OfficialCharles R StoltzCfo · (513) 530-1613
Enumeration DateAugust 6, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1326712902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1209 INDIANA AVE, Saint Marys, OH 45885
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Other Names 1

Doing Business AsGrande Lake Healthcare Center

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN ROSE DONNAL PTA. 03450
Physical Therapy Assistant
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (419) 394-3258
ESSEX HEALTHCARE CORPORATION
Skilled Nursing Facility
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (419) 394-7611
GREEN PALMS HEALTH & REHAB CENTER OF ST. MARYS, LLC
Skilled Nursing Facility
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (732) 519-0735
ESSEX HEALTHCARE CORP
Clinical Medical Laboratory
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (419) 394-7611
CONNIE LYNN FRIEMERING M.A.CCC/SLP
Speech-Language Pathologist
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (419) 394-7611
ESSEX HEALTHCARE CORPORATION
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (419) 394-7611
INDIANA LEASING CO., LLC
Skilled Nursing Facility
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (419) 394-7611
MRS. SHAWNA JEAN SCHIFFHAUER COTA/L
Occupational Therapy Assistant
1209 INDIANA AVE
SAINT MARYS, OH 45885
Auglaize County (419) 394-7611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indiana Leasing Co., LLC's NPI number?

The NPI number for Indiana Leasing Co., LLC is 1326712902. It was assigned to this organization in the NPPES registry on August 6, 2021. The provider is doing business as Grande Lake Healthcare Center.

Where is Indiana Leasing Co., LLC located?

Indiana Leasing Co., LLC is located at 1209 Indiana Ave, Saint Marys, OH 45885. The listed phone number is (419) 394-7611.

What is Indiana Leasing Co., LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Indiana Leasing Co., LLC was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.