Simply Ez HDM of Northwest Ohio

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

SIMPLY EZ HDM OF NORTHWEST OHIO

Practice address

6412 Fairfield Dr Ste F
Northwood, OH 43619-7514

Phone

(419) 662-3963

Fax

(419) 662-3962

NPI assigned

May 27, 2009

Last updated

Jan 20, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

SIMPLY EZ LLCAs reported in NPPES

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

Authorized official

Name

Mr. Gregg Paul Feiertag

Title

Owner

Phone

(419) 662-3963

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1689809220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 FAIRFIELD DR",
            "address_2": "SUITE F",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436197514",
            "telephone_number": "419-662-3963",
            "fax_number": "419-662-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 FAIRFIELD DR STE F",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436197514",
            "telephone_number": "419-662-3963",
            "fax_number": "419-662-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY EZ HDM OF NORTHWEST OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMPLY EZ LLC",
        "enumeration_date": "2009-05-27",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "FEIERTAG",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-662-3963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019745",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Radecki, RPH
• Gretchen A Reichow, LAT, ATC
• James Thomas Rogozinski, DMD DENTIST
• Leah Rymers, ATC
• Sarah Schimmoeller, PT
• Olivia Stanton
• Shelby Strayer, M.A., CFY-SLP
• Stucker Chiropractic Office, Inc
• Summit Rehabilitation Services, LLC
• Katelynn Telles, RDN, LD

• Home Delivered Meals in Northwood, OH
• Providers in Northwood, OH by specialty
• Home Delivered Meals in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.