Active NPI
Prueter Enterprises LTD
- Home Health Agency
- Perrysburg, OH
National Provider Identifier
1801091202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1103334
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.