Organization Active NPI

Prueter Enterprises LTD

  • Home Health Agency
  • Perrysburg, OH
National Provider Identifier
1801091202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1103334 Issued in OH
Legal business name
PRUETER ENTERPRISES LTD
Practice address
1021 Sandusky St Ste B
Perrysburg, OH 43551-3120
Phone
(419) 872-5343
Fax
(419) 872-7465
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Evan Kyle Prueter
Title
President
Phone
(419) 872-5343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1103334 OH Primary

Addresses

Primary practice location

1021 Sandusky St Ste B
Perrysburg, OH 43551-3120

Mailing address

1021 Sandusky St Ste B
Perrysburg, OH 43551-3120
Phone (419) 872-5343

Other names 1

  • GREAT LAKES MEDICAL STAFFING Doing business as

National Provider Directory

National Provider Directory

Locations

1021 Sandusky St
Ste B
Perrysburg, OH 43551
Phone (419) 277-3097

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801091202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513120",
            "telephone_number": "419-872-5343",
            "fax_number": "419-872-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513120",
            "telephone_number": "419-872-5343",
            "fax_number": "419-872-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUETER ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUETER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-872-5343"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1103334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES MEDICAL STAFFING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.