Active NPI
Laura Peschke, RN
- Community Based Hospice Care Agency
- Thompson, OH
National Provider Identifier
1396335592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 362344
- Practice address
- 7050 Dewey Rd
Thompson, OH 44086-9808 - Phone
- (440) 725-7420
- NPI assigned
- Jan 21, 2021
- Last updated
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 362344 | OH | Primary |
| Nursing Care Agency | 251J00000X | 362344 | OH | |
| Hospice Registered Nurse | 163WH1000X | 362344 | OH | |
| Lodging Provider | 177F00000X | 362344 | OH | |
| In Home Supportive Care Agency | 253Z00000X | 362344 | OH | |
| Meals Provider | 174200000X | 362344 | OH |
Addresses
Primary practice location
7050 Dewey Rd
Thompson, OH 44086-9808
Mailing address
7050 Dewey Rd
Thompson, OH 44086-9808
Phone (440) 725-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 362344 | OH | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1396335592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 DEWEY RD",
"city": "THOMPSON",
"state": "OH",
"postal_code": "440869808",
"telephone_number": "440-725-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 DEWEY RD",
"city": "THOMPSON",
"state": "OH",
"postal_code": "440869808",
"telephone_number": "440-725-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESCHKE",
"first_name": "LAURA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OH",
"license": "362344",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "OH",
"license": "362344",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "OH",
"license": "362344",
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "OH",
"license": "362344",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "362344",
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "OH",
"license": "362344",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thompson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.