NPIMap

Organization Active NPI

Premier Professioal Group, LLC

Doing business as Be The GAP

  • School Social Worker
  • Toledo, OH
National Provider Identifier
1841709458
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
PREMIER PROFESSIOAL GROUP, LLC
Doing business as
Be The GAP
Practice address
5025 Glendale Ave
Toledo, OH 43614-1855
Phone
(419) 509-6776
NPI assigned
Sep 26, 2017
Last updated
Sep 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Mr. David L BushNPI 1396254900
Title
Founder/Ceo
Phone
(419) 509-6776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NU Primary

Addresses

Primary practice location

5025 Glendale Ave
Toledo, OH 43614-1855

Mailing address

3806 Driftwood Rd
Toledo, OH 43614-3435
Phone (419) 509-6776

Other names 1

  • Be The GAP Doing business as

National Provider Directory

National Provider Directory

Locations

5025 Glendale Ave
Toledo, OH 43614
Phone (419) 509-6776

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1841709458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 DRIFTWOOD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143435",
            "telephone_number": "419-509-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141855",
            "telephone_number": "419-509-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROFESSIOAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "419-509-6776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be The GAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 26, 2017; 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.