Active NPI
Promed Healthcare LLC
- Home Health Agency
- Parma, OH
National Provider Identifier
1508522129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROMED HEALTHCARE LLC
- Practice address
- 1416 W Pleasant Valley Rd
Parma, OH 44134-6720 - Phone
- (440) 842-3020
- NPI assigned
- Nov 9, 2021
- 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
- Olena O Skrybka
- Title
- Don
- Phone
- (440) 842-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1416 W Pleasant Valley Rd
Parma, OH 44134-6720
Mailing address
1416 W Pleasant Valley Rd
Parma, OH 44134-6720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102092 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Promed Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Parma, OH
- NPI 1922364140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1508522129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 W PLEASANT VALLEY RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441346720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 W PLEASANT VALLEY RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441346720",
"telephone_number": "440-842-3020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMED HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "SKRYBKA",
"authorized_official_first_name": "OLENA",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "DON",
"authorized_official_telephone_number": "440-842-3020"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102092",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.