Organization Active NPI

Private Duty Services Inc

  • Home Health Agency
  • Van Wert, OH
National Provider Identifier
1558564369
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIVATE DUTY SERVICES INC
Practice address
1157 Westwood Dr
Van Wert, OH 45891-2464
Phone
(419) 238-9223
Fax
(419) 238-9391
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Mr. Brent Tow
Title
President
Phone
(419) 238-9223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1157 Westwood Dr
Van Wert, OH 45891-2464

Mailing address

1157 Westwood Dr
Van Wert, OH 45891-2464
Phone (419) 238-9223

Other practice location 1

1215 S Portland St
Bryan, OH 43506-2079
Phone (419) 633-7590

Other practice location 2

230 Westfield Dr
Archbold, OH 43502-1047
Phone (419) 445-5128

Other practice location 3

6817 N State Route 66
Defiance, OH 43512-6730
Phone (419) 782-5411

Other practice location 4

250 Dooley Dr Ste A
Paulding, OH 45879-8846
Phone (419) 399-4708

Other identifiers 1

IdentifierTypeStateIssuer
0144285MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0957046Private Duty Services Inc1157 Westwood Drive, Van Wert, OH 45891Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

1215 S Portland St
Bryan, OH 43506
Phone (419) 212-9361

1157 Westwood Dr
Van Wert, OH 45891
Phone (419) 238-3714

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1558564369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-9223",
            "fax_number": "419-238-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-9223",
            "fax_number": "419-238-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S Portland St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435062079",
            "country_code": "US",
            "telephone_number": "419-633-7590",
            "fax_number": "419-633-7480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Westfield Dr",
            "address_purpose": "LOCATION",
            "city": "Archbold",
            "state": "OH",
            "postal_code": "435021047",
            "country_code": "US",
            "telephone_number": "419-445-5128",
            "fax_number": "419-445-6314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6817 N State Route 66",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435126730",
            "country_code": "US",
            "telephone_number": "419-782-5411",
            "fax_number": "419-782-6673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Dooley Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Paulding",
            "state": "OH",
            "postal_code": "458798846",
            "country_code": "US",
            "telephone_number": "419-399-4708",
            "fax_number": "419-399-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIVATE DUTY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "TOW",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-238-9223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144285",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.