Active NPI
Intrepid Affiliates Inc
- Home Health Agency
- Toledo, OH
National Provider Identifier
1295717874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INTREPID AFFILIATES INC
- Practice address
- 5445 South Wyck Blvd
Suite 208
Toledo, OH 43614 - Phone
- (419) 861-2722
- Fax
- (419) 861-2725
- NPI assigned
- Nov 18, 2005
- 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. Greg A Vonarx
- Title
- Cfo
- Phone
- (952) 285-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5445 South Wyck Blvd
Suite 208
Toledo, OH 43614
Mailing address
6600 France Avenue South
Suite 510
Edina, MN 55435-1804
Phone (952) 285-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0459614 | Medicaid | OH |
Other names 1
- Intrepid USA Healthcare Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295717874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVENUE SOUTH",
"address_2": "SUITE 510",
"city": "EDINA",
"state": "MN",
"postal_code": "554351804",
"telephone_number": "952-285-7300",
"fax_number": "952-285-6827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 SOUTH WYCK BLVD",
"address_2": "SUITE 208",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "419-861-2722",
"fax_number": "419-861-2725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTREPID AFFILIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VONARX",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "952-285-7300",
"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": "0459614",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intrepid USA Healthcare Services",
"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 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.