NPIMap

Organization Active NPI

Whole Family Medical Care LLC

  • Primary Care Clinic/Center
  • Perrysburg, OH
National Provider Identifier
1053431130
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35065656 Issued in OH
Legal business name
WHOLE FAMILY MEDICAL CARE LLC
Practice address
28442 E River Rd
Suite 204
Perrysburg, OH 43551-2858
Phone
(419) 872-3250
Fax
(419) 872-3258
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Eleanor J Host, MDNPI 1518963560
Title
Owner
Phone
(419) 872-3250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35065656 OH Primary

Addresses

Primary practice location

28442 E River Rd
Suite 204
Perrysburg, OH 43551-2858

Mailing address

7550 Lucerne Dr
Suite 405
Cleveland, OH 44130-6588
Phone (888) 876-8833

Other identifiers 1

IdentifierTypeStateIssuer
0198067MedicaidOH

National Provider Directory

National Provider Directory

Locations

28442 E River Rd
Ste 204
Perrysburg, OH 43551
Phone (419) 872-3250

Practitioners & affiliated clinicians

Practitioners 4

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1053431130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 LUCERNE DR",
            "address_2": "SUITE 405",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441306588",
            "telephone_number": "888-876-8833",
            "fax_number": "440-234-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28442 E RIVER RD",
            "address_2": "SUITE 204",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512858",
            "telephone_number": "419-872-3250",
            "fax_number": "419-872-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE FAMILY MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HOST",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-872-3250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35065656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198067",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.