Organization Active NPI

That Special Woman Inc.

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
National Provider Identifier
1336192541
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THAT SPECIAL WOMAN INC.
Practice address
2461 N Reynolds Rd
Toledo, OH 43615-2850
Phone
(419) 536-6206
Fax
(419) 536-6211
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Kristin Ann Beard
Title
President
Phone
(419) 536-6206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2461 N Reynolds Rd
Toledo, OH 43615-2850

Mailing address

2461 N Reynolds Rd
Toledo, OH 43615-2850
Phone (419) 536-6206

Other identifiers 1

IdentifierTypeStateIssuer
0920301MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073578 OH DME Supplier - Medical Supply Company 9133247125 Practice locations: Toledo, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
That Special Woman Inc2461 N Reynolds Rd, Toledo, OH 43615-2850(419) 536-6206 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Locations

2461 N Reynolds Rd
Toledo, OH 43615
Phone (419) 536-6206

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1336192541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152850",
            "telephone_number": "419-536-6206",
            "fax_number": "419-536-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152850",
            "telephone_number": "419-536-6206",
            "fax_number": "419-536-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAT SPECIAL WOMAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-536-6206"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920301",
            "state": "OH"
        }
    ],
    "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 Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.