PROMEDICA CONTINUING CARE SERVICES CORP (NPI# 1013903749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013903749 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CONTINUING CARE SERVICES CORP |
| Other Organization Name | PROMEDICA HOME INFUSION PHARMACY |
| Practice Address |
4345 Secor Rd Suite B Toledo OH 43623-4233 |
| Mailing Address |
Po Box 636481 Cincinnati OH 45263-6481 |
| Practice Telephone | 4192918247 |
| Practice Fax Number | 4194796959 |
| Mailing Telephone | 4192918247 |
| Mailing Fax Number | 4194796959 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | DARLENE FEDOR (LEAD PHARMACIST) |
| Authorized Official Telephone | 4192918245 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 021251950 | OH | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
5301007776 | Suppliers | |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078422 | 01 | |
| OH | 2611534 | 05 |
| Other Name | Type Code |
|---|---|
| PROMEDICA HOME INFUSION PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144283979 | Promedica Continuing Care Services Corp | Alzheimer Center (Dementia Center) | 5320 Harroun Rd, Sylvania, OH 43560-2114 | 2006-04-11 |
| 1265492334 | Promedica Continuing Care Services Corp | Skilled Nursing Facility | 5100 Harroun Rd, Sylvania, OH 43560-2110 | 2006-03-24 |
| 1518952225 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 4345 Secor Rd, Suite A, Toledo, OH 43623-4233 | 2005-09-19 |
| 1184619801 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 601 Parkway Dr, Fostoria, OH 44830-1592 | 2005-09-19 |
| 1497822092 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 2751 Bay Park Dr, Suite 110, Oregon, OH 43616-4921 | 2006-11-29 |
| 1902881824 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 770 Riverside Ave, Suite 104, Adrian, MI 49221-1476 | 2005-12-14 |
| 1467447177 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-09-19 |
| Street Address |
4345 SECOR RD SUITE B |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952225 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 4345 Secor Rd, Suite A, Toledo, OH 43623-4233 | 2005-09-19 |
| 1275601643 | Kimberly Bentley | Specialist/Technologist | 4345 Secor Rd, Toledo, OH 43623-4233 | 2006-12-01 |
| 1891883781 | Omni Health Services, Ltd | Ambulance | 4345 Secor Rd, Toledo, OH 43623-4233 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871652289 | In Home Health, LLC | Pharmacy | 333 N. Summit St, 16th Floor; Licensure & Certification, Toledo, OH 43604-2615 | 2006-12-08 |
| 1962561373 | In Home Health, LLC. | Pharmacy | 333 N Summit St, 16th Floor; Licensure & Certification, Toledo, OH 43604-2615 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581246 | Clinical Specialties Inc | Pharmacy | 6361 Nicholas Dr, Columbus, OH 43235-5204 | 2011-04-20 |
| 1013226612 | Gold Medical | Pharmacy | 1799 W 5th Ave, Suite 252, Columbus, OH 43212-2322 | 2010-09-29 |
| 1164741377 | Legacy Infusion Services, LLC | Pharmacy | 9969 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2010-05-27 |
| 1841389533 | Curascript Infusion Pharmacy, Inc. | Pharmacy | 29313 Clemens Rd, Ste 2 L, Westlake, OH 44145-1052 | 2006-10-12 |
| 1306938345 | Mercy Health Youngstown, LLC | Pharmacy | 979 Tibbetts Wick Rd, Suite A, Girard, OH 44420-1182 | 2006-09-28 |
| 1699878165 | Homereach | Pharmacy | 404 East Wilson Bridge Road, Suite H, Worthington, OH 43085-2369 | 2006-09-07 |
| 1134137946 | Csi Managed Care Inc. | Pharmacy | 6955 Treeline Dr, Brecksville, OH 44141-3393 | 2006-08-04 |
| 1619943115 | Braden Med Services Inc | Pharmacy | 44519 Marietta Rd, Caldwell, OH 43724-9209 | 2006-02-24 |
| 1508850926 | Amerimed, Inc. | Pharmacy | 9961 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2005-08-31 |
| 1124628094 | Aultman Hospital | Pharmacy | 6100 Whipple Ave Nw, North Canton, OH 44720-7618 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.