Organization Active NPI

Pomise Peak LLC

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1548015076
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
POMISE PEAK LLC
Practice address
1628 Avondale Ave
Toledo, OH 43607-3908
Phone
(419) 490-1589
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Anthony Nathaniel GrahamNPI 1952837569
Title
Doo
Phone
(419) 490-1589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1628 Avondale Ave
Toledo, OH 43607-3908

Mailing address

1628 Avondale Ave
Toledo, OH 43607-3908
Phone (419) 490-1589

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1548015076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 AVONDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436073908",
            "telephone_number": "419-490-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 AVONDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436073908",
            "telephone_number": "419-490-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMISE PEAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "419-490-1589"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 18, 2024; 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.