Active NPI
Professional Health Care LLC
- Home Health Agency
- Toledo, OH
National Provider Identifier
1134501752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150600 | Medicaid | OH |
Other names 1
- Parrish Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| Aug 15, 2017 | Change of Ownership | PHC Homecare |
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.
-
- Family Nurse Practitioner
- Toledo, OH
- NPI 1851543482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.