Provider Demographics
NPI:1366785248
Name:CASLEO LLC
Entity type:Organization
Organization Name:CASLEO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATALIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRYLOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-252-6508
Mailing Address - Street 1:2741 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-2824
Mailing Address - Country:US
Mailing Address - Phone:614-252-6508
Mailing Address - Fax:614-228-1746
Practice Address - Street 1:2741 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-2824
Practice Address - Country:US
Practice Address - Phone:614-252-6508
Practice Address - Fax:614-228-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2569395Medicaid