Organization Active NPI

Primary Care Solutions of Ohio Incorporated

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1811379845
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED
Practice address
500 Madison Ave
Suite 300
Toledo, OH 43604-1222
Phone
(888) 380-9990
Fax
(888) 380-9990
NPI assigned
Jun 25, 2015
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Kimberlyne Roundtree
Title
Managing Partner
Phone
(888) 380-9990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 Madison Ave
Suite 300
Toledo, OH 43604-1222

Mailing address

5700 Executive Center Dr
Suite 101
Charlotte, NC 28212-8858
Phone (888) 380-9990

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Solutions of Ohio Incorporated3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5700 Executive Center Dr
Ste 101
Charlotte, NC 28212
Phone 7045371022 ext. 106

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1811379845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 EXECUTIVE CENTER DR",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128858",
            "telephone_number": "888-380-9990",
            "fax_number": "888-380-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MADISON AVE",
            "address_2": "SUITE 300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041222",
            "telephone_number": "888-380-9990",
            "fax_number": "888-380-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "KIMBERLYNE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "888-380-9990"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.