Organization Active NPI

Professional Health Care LLC

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1134501752
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HEALTH CARE LLC
Practice address
1515 S Byrne Rd
Suite 109
Toledo, OH 43614-3458
Phone
(419) 389-1020
Fax
(419) 389-1300
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Mr. Thomas K Rogers
Title
Cfo
Phone
(419) 389-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1515 S Byrne Rd
Suite 109
Toledo, OH 43614-3458

Mailing address

PO Box 8600
Toledo, OH 43623-0600
Phone (419) 389-1020

Other identifiers 1

IdentifierTypeStateIssuer
0150600MedicaidOH

Other names 1

  • Parrish Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

3361 Executive Pkwy
Ste 301
Toledo, OH 43606
Phone (419) 389-1020

1515 S Byrne Rd
Ste 109
Toledo, OH 43614
Phone (419) 389-1020

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 15, 2017 Change of OwnershipThis provider was the seller PHC HomecareCCN 368171, OH, NPI 1114425642

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1134501752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8600",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436230600",
            "telephone_number": "419-389-1020",
            "fax_number": "419-389-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BYRNE RD",
            "address_2": "SUITE 109",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143458",
            "telephone_number": "419-389-1020",
            "fax_number": "419-389-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-389-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parrish Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.