NPIMap

Organization Active NPI

Carol I Peake LLC

Doing business as Peake Care

  • Multi-Specialty Clinic/Center
  • Sylvania, OH
National Provider Identifier
1992015135
Registry record updated Nov 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
177151 Issued in OH
Legal business name
CAROL I PEAKE LLC
Doing business as
Peake Care
Practice address
5830 Woodrow Dr
Sylvania, OH 43560-1245
Phone
(419) 488-2089
NPI assigned
Oct 20, 2010
Last updated
Nov 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2010

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

Authorized official

Name
Mrs. Carol I. Peake, NP-CNPI 1467635664
Title
FNP
Phone
41948810890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 177151 OH Primary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2127186 OH
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 177151 OH
Chronic Disease Hospital 281P00000X 1467635664 OH
Adult Care Home Facility 311ZA0620X 1992015135 OH

Addresses

Primary practice location

5830 Woodrow Dr
Sylvania, OH 43560-1245

Mailing address

5830 Woodrow Dr
Sylvania, OH 43560-1245
Phone (419) 488-2089

Other names 1

  • Peake Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290211200000",
    "number": "1992015135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 WOODROW DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601245",
            "telephone_number": "419-488-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 WOODROW DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601245",
            "telephone_number": "419-488-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL I PEAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-11-20",
        "status": "A",
        "authorized_official_last_name": "PEAKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "41948810890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OH",
            "license": "177151",
            "primary": true
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "OH",
            "license": "2127186",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "OH",
            "license": "177151",
            "primary": false
        },
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "OH",
            "license": "1467635664",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "1992015135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peake Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2010; 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.