Promedica Continuing Care Services Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMEDICA CONTINUING CARE SERVICES CORP

Practice address

601 Parkway Dr
Fostoria, OH 44830-1592

Phone

(419) 436-0004

Fax

(419) 436-8190

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Gladeen A Roberts

Title

President

Phone

(419) 469-3780

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• ProMedica Home Medical Equipment Doing business as

Tax ID family

Promedica Continuing Care Services Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Promedica Continuing Care Services Corp

  • Durable Medical Equipment & Medical Supplies
  • Defiance, OH
  • NPI 1467447177
  NPD tax ID
• Promedica Continuing Care Services Corp

  • Durable Medical Equipment & Medical Supplies
  • Oregon, OH
  • NPI 1497822092
  NPD tax ID

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1184619801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RICHARDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071037",
            "telephone_number": "419-469-3780",
            "fax_number": "419-469-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PARKWAY DR",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301592",
            "telephone_number": "419-436-0004",
            "fax_number": "419-436-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CONTINUING CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GLADEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-469-3780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155945",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY",
            "identifier": "707795",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN",
            "identifier": "81337",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "10133",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2828668",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4405016",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Perez
• Pharmacy Counter, LLC
• Cash Pixley, RPH
• Promedica Central Physicians
• Promedica Central Physicians, LLC
• Promedica Northwest Ohio Cardiology Consultants, LLC
• Karen L. Raber, LPCC-S
• Kimberly S Ray, CPST
• Juliette Faye Reising, FNP-C
• Karly Rae Renz

• Durable Medical Equipment & Medical Supplies in Fostoria, OH
• Providers in Fostoria, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.