NPIMap

Organization Active NPI

CKC Medical Inc

Doing business as Perrysburg Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Perrysburg, OH
National Provider Identifier
1396746525
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMER 22028 Issued in OH
Legal business name
CKC MEDICAL INC
Doing business as
Perrysburg Home Medical Equipment
Practice address
25671 Fort Meigs Rd
Suite a
Perrysburg, OH 43551-1191
Phone
(419) 872-4775
Fax
(419) 872-4776
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Ibe U Nnaji
Title
President/Ceo
Phone
(419) 872-4775

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Durable Medical Equipment & Medical Supplies 332B00000X HMER 22028 OH Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X HMER 22028 OH

Addresses

Primary practice location

25671 Fort Meigs Rd
Suite a
Perrysburg, OH 43551-1191

Mailing address

25671 Fort Meigs Rd
Suite a
Perrysburg, OH 43551-1191
Phone (419) 872-4775

Other identifiers 4

IdentifierTypeStateIssuer
2015018MedicaidOH
0000002498007OtherOHANTHEM BCBS MANSFIELD
000000249807OtherOHANTHEM BCBS PERRYSBURG
8700304OtherOHINDIVIDUAL OPTIONS

Other names 1

  • Perrysburg Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1396746525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25671 FORT MEIGS RD",
            "address_2": "SUITE A",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511191",
            "telephone_number": "419-872-4775",
            "fax_number": "419-872-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25671 FORT MEIGS RD",
            "address_2": "SUITE A",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511191",
            "telephone_number": "419-872-4775",
            "fax_number": "419-872-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKC MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "NNAJI",
        "authorized_official_first_name": "IBE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "419-872-4775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMER 22028",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "HMER 22028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015018",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS MANSFIELD",
            "identifier": "0000002498007",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PERRYSBURG",
            "identifier": "000000249807",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL OPTIONS",
            "identifier": "8700304",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perrysburg Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.