Professional Picc Services LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PROFESSIONAL PICC SERVICES LLC

Practice address

115 Woodview Dr
Cortland, OH 44410-1247

Phone

(330) 637-1940

Fax

(440) 259-1055

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. David A. Davis

Title

Vice President

Phone

(330) 637-1940

Specialties & licenses 2

Addresses

Other names 1

• Professional Dialysis Services Doing business as

Tax ID family

Professional Dialysis Services2 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.

• Professional Picc Services

  • Infusion Therapy Registered Nurse
  • Cortland, OH
  • NPI 1306943956
  NPD tax ID

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1194195370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WOODVIEW DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101247",
            "telephone_number": "330-637-1940",
            "fax_number": "440-259-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WOODVIEW DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101247",
            "telephone_number": "330-637-1940",
            "fax_number": "440-259-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PICC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-637-1940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Dialysis Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Elizabeth Poullas, APRN-CNP
• Tricia Pratt, RDH
• Premier Care Pediatrics, Inc.
• Stephen Prindle, PHARMD, RPH
• Professional Picc Services
• Psycare, Inc.
• Morris Wade Pulliam, M.D.
• Ruth F Quarles, M.D.
• Rem Ohio Inc
• Respiratory Care Partners Inc

• Skilled Nursing Facility in Cortland, OH
• Providers in Cortland, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.