NPIMap

Organization Active NPI

Great Lakes Employment Services LTD

Doing business as Great Lakes Home Care

  • Home Health Agency
  • Perrysburg, OH
National Provider Identifier
1952506354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1656351 Issued in ID
Legal business name
GREAT LAKES EMPLOYMENT SERVICES LTD
Doing business as
Great Lakes Home Care
Practice address
1021 Sandusky St
Ste B
Perrysburg, OH 43551-3120
Phone
(419) 872-4343
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 1656351 ID 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) 872-4343

Other names 1

  • GREAT LAKES HOME CARE Doing business as

National Provider Directory

National Provider Directory

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": "1952506354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST",
            "address_2": "STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513120",
            "telephone_number": "419-872-4343",
            "fax_number": "419-872-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST",
            "address_2": "STE B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513120",
            "telephone_number": "419-872-4343",
            "fax_number": "419-872-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES EMPLOYMENT SERVICES 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": "ID",
            "license": "1656351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES HOME CARE",
            "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.