Promedica Physicians at Home, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

PROMEDICA PHYSICIANS AT HOME, LLC

Doing business as

ProMedica Acute Care at Home

Practice address

1801 Richards Rd
Toledo, OH 43607-1037

Phone

(567) 585-7596

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Sharp

Title

Vice President, Revenue Cycle

Phone

(567) 585-7576

Specialties & licenses 1

Addresses

Other names 1

• ProMedica Acute Care at Home Doing business as

Locations

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1619588787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX : 631035",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RICHARDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071037",
            "telephone_number": "567-585-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA PHYSICIANS AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "567-585-7576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Acute Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Special Hospital in Toledo, OH
• Providers in Toledo, OH by specialty
• Special Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.