Promedica Continuing Care Services Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMEDICA CONTINUING CARE SERVICES CORP

Doing business as

Promedica Home Medical Equipment

Practice address

770 Riverside Ave
Suite 104
Adrian, MI 49221-1476

Phone

(517) 266-2568

Fax

(517) 266-1036

NPI assigned

Dec 14, 2005

Organization subpart

No

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

Authorized official

Name

Gladeen A Roberts

Title

President

Phone

(419) 469-3780

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Promedica Home Medical Equipment Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Counter, LLC

  • Durable Medical Equipment & Medical Supplies
  • Defiance, OH
  • NPI 1548582232

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1902881824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RICHARDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071037",
            "telephone_number": "419-469-3780",
            "fax_number": "419-469-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "SUITE 104",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-266-2568",
            "fax_number": "517-266-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CONTINUING CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GLADEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-469-3780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARECHOICES OF MI",
            "identifier": "139856",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "10133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promedica Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Nicole Probelski
• Shelly Elizabeth Proffitt, CHW
• Tesha Proffitt
• Promedica Central Corporation of Michigan
• Promedica Central Physicians
• Promedica Northwest Ohio Cardiology Consultants, LLC
• Promedica of Adrian Mi, LLC
• Whitney Alysse Puckey, LLPC
• Pure Psychiatry of Michigan PLLC
• Vanessa Putnam, LMT

• Durable Medical Equipment & Medical Supplies in Adrian, MI
• Providers in Adrian, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.