Great Lakes PCS 1 LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES PCS 1 LLC

Practice address

3425 Executive Pkwy Ste 206a
Toledo, OH 43606-1334

Phone

(419) 536-6748

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Katie Monastiere

Title

Compliance, Privacy & Safety Ofcr

Phone

(517) 768-4373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1750194726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LYNDON B JOHNSON FWY STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 EXECUTIVE PKWY STE 206A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061334",
            "telephone_number": "419-536-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES PCS 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "MONASTIERE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "COMPLIANCE, PRIVACY & SAFETY OFCR",
        "authorized_official_telephone_number": "517-768-4373"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Grays, CDCA, QMHS
• Great Horizons
• Great Lakes Audiology, LLC
• Great Lakes Home Health Ohio 1, LLC
• Great Lakes LTC Pharmacy LLC
• Greater Toledo Behavioral Hospital
• Greater Toledo Urgent Cares
• Greater Toledo Urgent Cares, LLC.
• Chloe Greaves
• Madia Mona Greaves, RN

• Home Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.