NPIMap

Organization Active NPI

Provident Medical Equipments and Home Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, OH
National Provider Identifier
1114951043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1568045 Issued in OH
Legal business name
PROVIDENT MEDICAL EQUIPMENTS AND HOME CARE, INC.
Practice address
4763 Higbee Ave NW
Canton, OH 44718-2551
Phone
(330) 649-9100
Fax
(330) 649-9101
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cosmas Onwudiwe Onuora, M.D.
Title
Owner/President
Phone
(330) 649-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1568045 OH Primary

Addresses

Primary practice location

4763 Higbee Ave NW
Canton, OH 44718-2551

Mailing address

4763 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 649-9100

National Provider Directory

National Provider Directory
Tax ID family
Provident Medical Equipments and Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114951043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-649-9100",
            "fax_number": "330-649-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-649-9100",
            "fax_number": "330-649-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENT MEDICAL EQUIPMENTS AND HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONUORA",
        "authorized_official_first_name": "COSMAS",
        "authorized_official_middle_name": "ONWUDIWE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "330-649-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "1568045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.