Active NPI
Private Duty Services Inc
- Home Health Agency
- Van Wert, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0144285 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0957046 | Private Duty Services Inc | Certificate of waiver | Feb 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.