NPIMap

Organization Active NPI

Promedica Continuing Care Services Corp.

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
National Provider Identifier
1013173129
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROMEDICA CONTINUING CARE SERVICES CORP.
Practice address
2142 N Cove Blvd
Suite 100
Toledo, OH 43606-3895
Phone
(419) 291-6840
Fax
(419) 480-8711
NPI assigned
Jul 29, 2008
Organization subpart
Yes
Parent organization
PROMEDICA HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gladeen Roberts, PHD
Title
President
Phone
(419) 469-3780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2142 N Cove Blvd
Suite 100
Toledo, OH 43606-3895

Mailing address

4345 Secor Rd
Suite a
Toledo, OH 43623-4233
Phone (419) 291-8240

Other identifiers 1

IdentifierTypeStateIssuer
179937OtherOHVENDOR LICENSE

Other names 1

  • ProMedica Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Part of
Promedica Health System

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 16

Organizations listed as members of this organization in the National Provider Directory.

View all 16

Interoperability endpoints

  • FHIR API: https://fhir.promedica.org/FHIR/MYCHART/api/FHIR/R4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1013173129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 SECOR RD",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234233",
            "telephone_number": "419-291-8240",
            "fax_number": "419-480-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "address_2": "SUITE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-6840",
            "fax_number": "419-480-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CONTINUING CARE SERVICES CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMEDICA HEALTH SYSTEM",
        "enumeration_date": "2008-07-29",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GLADEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-469-3780",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR LICENSE",
            "identifier": "179937",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.