Organization Active NPI

Great Lakes Community Action Partnership

  • Home Delivered Meals
  • Fremont, OH
National Provider Identifier
1790378909
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
GREAT LAKES COMMUNITY ACTION PARTNERSHIP
Practice address
127 S Front St
Fremont, OH 43420-3021
Phone
(419) 334-8911
NPI assigned
Feb 18, 2021
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Ruthann House
Title
President/Ceo
Phone
(419) 334-8911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

127 S Front St
Fremont, OH 43420-3021

Mailing address

PO Box 590
Fremont, OH 43420-0590
Phone (419) 334-8911

Other identifiers 1

IdentifierTypeStateIssuer
0912918MedicaidOH

National Provider Directory

National Provider Directory

Locations

127 S Front St
Fremont, OH 43420
Phone (419) 334-8911

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1790378909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434200590",
            "telephone_number": "419-334-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S FRONT ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203021",
            "telephone_number": "419-334-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES COMMUNITY ACTION PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "RUTHANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "419-334-8911"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0912918",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.