NPIMap

Organization Active NPI

Promedica Continuing Care Services Corp

Doing business as ProMedica Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Defiance, OH
National Provider Identifier
1467447177
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROMEDICA CONTINUING CARE SERVICES CORP
Doing business as
ProMedica Home Medical Equipment
Practice address
1200 Ralston Ave
Defiance, OH 43512-1396
Phone
(419) 783-6973
Fax
(419) 783-4430
NPI assigned
Sep 19, 2005
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Gladeen A Roberts
Title
President
Phone
(419) 469-3780

Specialties & licenses 1

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

Addresses

Primary practice location

1200 Ralston Ave
Defiance, OH 43512-1396

Mailing address

1801 Richards Rd
Toledo, OH 43607-1037
Phone (419) 469-3780

Other identifiers 8

IdentifierTypeStateIssuer
139856OtherMICARE CHOICES
139856OtherMITRINITY HEALTH PLANS
81337OtherOHNPN
000000155945OtherOHANTHEM
0259250MedicaidOH
707795OtherOHBUCKEYE COMMUNITY
10133OtherOHPARAMOUNT HEALTH CARE
4405016OtherMIMI MEDICAID

Other names 1

  • ProMedica Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promedica Continuing Care Services Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1467447177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RICHARDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071037",
            "telephone_number": "419-469-3780",
            "fax_number": "419-469-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121396",
            "telephone_number": "419-783-6973",
            "fax_number": "419-783-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CONTINUING CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GLADEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-469-3780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "139856",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRINITY HEALTH PLANS",
            "identifier": "139856",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN",
            "identifier": "81337",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155945",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259250",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY",
            "identifier": "707795",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "10133",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICAID",
            "identifier": "4405016",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.