Organization Active NPI

Nursing Service LPN

  • Nursing Care Agency
  • Bowling Green, OH
National Provider Identifier
1043594559
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
NURSING SERVICE LPN
Practice address
15815 Gorrill Rd
Bowling Green, OH 43402-9787
Phone
(419) 601-5457
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Ms. Diane Gerdeman
Title
RN/Supervisor
Phone
(419) 494-8634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

15815 Gorrill Rd
Bowling Green, OH 43402-9787

Mailing address

15815 Gorrill Rd
Bowling Green, OH 43402-9787
Phone (419) 601-5457

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1043594559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 GORRILL RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029787",
            "telephone_number": "419-601-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15815 GORRILL RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029787",
            "telephone_number": "419-601-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING SERVICE LPN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "GERDEMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "RN/SUPERVISOR",
        "authorized_official_telephone_number": "419-494-8634",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.