Promedica Continuing Care Services Corp

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

PROMEDICA CONTINUING CARE SERVICES CORP

Doing business as

Goerlich Center

Practice address

5320 Harroun Rd
Sylvania, OH 43560-2114

Phone

(419) 824-1250

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gladeen Roberts, PHD

Title

President

Phone

(419) 824-5660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goerlich Center Doing business as

Locations

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144283979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602114",
            "telephone_number": "419-824-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602114",
            "telephone_number": "419-824-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CONTINUING CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GLADEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-824-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2600395",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goerlich Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Promedica Central Physicians, LLC (Sarah Puckett, DO)
• Promedica Central Physicians, LLC (ProMedica Hearing Center)
• Promedica Central Physicians, LLC (Ahmed Janjua MD)
• Promedica Central Physicians, LLC (Northwest Ohio ENT Consultants)
• Promedica Central Physicians,LLC (Harroun Road Family Physicians)
• Promedica Continuing Care Services Corp (Lake Park)
• Promedica Genito-Urinary Surgeons LLC (Carin V Hopps MD)
• Promedica Health System
• Promedica of Sylvania Oh, LLC (ProMedica Goerlich Memory Center (Sylvania))
• Katherine Prots

• Alzheimer Center (Dementia Center) in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Alzheimer Center (Dementia Center) in Ohio

• 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.