Petersons Professional Services LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

PETERSONS PROFESSIONAL SERVICES LLC

Practice address

1126 Marianna Dr
Mansfield, OH 44903-9672

Phone

(567) 333-1298

Fax

(419) 589-6641

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jane PetersonNPI 1093314908

Title

Owner Operator

Phone

(567) 333-1298

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mary Jane Peterson, PROVIDER

  • Chore Provider
  • Mansfield, OH
  • NPI 1093314908
  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1700641164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MARIANNA DR",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039672",
            "telephone_number": "567-333-1298",
            "fax_number": "419-589-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MARIANNA DR",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039672",
            "telephone_number": "567-333-1298",
            "fax_number": "419-589-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSONS PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "567-333-1298",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Peterman
• Angela Peters
• Kari Petersen, INTERN
• Kylee M. Petersen
• Mary Jane Peterson, PROVIDER
• Donna Petroskymiller
• Angela Ros Petruzzi
• Renee Petruzzi, LISW-S
• Rachel Ann Pettit
• Ellen Petulla

• Home Modifications Contractor in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.