Organization Active NPI

Smooka Bear Home Health Care Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Toledo, OH
National Provider Identifier
1275920415
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
SMOOKA BEAR HOME HEALTH CARE SERVICES
Practice address
112 Rosalind PL
Toledo, OH 43610-1536
Phone
(419) 787-7306
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Ms. Doris Penrose
Title
Chief of Executive
Phone
(419) 787-7306

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

112 Rosalind PL
Toledo, OH 43610-1536

Mailing address

112 Rosalind Place
Toledo, OH 43610
Phone (419) 787-7306

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1275920415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROSALIND PLACE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43610",
            "telephone_number": "419-787-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ROSALIND PL",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436101536",
            "telephone_number": "419-787-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOOKA BEAR HOME HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "PENROSE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "CHIEF OF EXECUTIVE",
        "authorized_official_telephone_number": "419-787-7306",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 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.