PROMEDICA PHYSICIANS AT HOME, LLC (NPI# 1619588787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619588787 |
| Entity Type | Organization |
| Organization Name | PROMEDICA PHYSICIANS AT HOME, LLC |
| Practice Address |
1801 Richards Rd Toledo OH 43607-1037 |
| Mailing Address |
Po Box : 631035 Cincinnati OH 45263-1035 |
| Practice Telephone | 5675857596 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | MR. KEVIN SHARP (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 5675857576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| ProMedica Acute Care at Home | Doing Business As Name - Organization |
| Street Address |
1801 RICHARDS RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43607-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952147 | Mohamed H Salami | Hospitalist | 1801 Richards Rd, Toledo, OH 43607-1037 | 2020-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922583459 | Binetta Deshun Griffin | Licensed Practical Nurse | 410 N Westwood, Toledo, OH 43607 | 2018-10-01 |
| 1780100644 | Elisha Mitchell | Day Training, Developmentally Disabled Services | 112 Bloomfield Ave., Toledo, OH 43607 | 2017-08-22 |
| 1275062333 | Jonnise Aldridge | Counselor | 2447 Nebraska, Toledo, OH 43607 | 2017-06-12 |
| 1053848663 | Gerald Hoskins | Counselor | 1311 Fernwood Ave, Toledo, OH 43607 | 2017-05-12 |
| 1639454853 | Amber Monet Smith | Licensed Practical Nurse | 15 Bloomfield, Toledo, OH 43607 | 2011-10-19 |
| 1326363805 | Apple A Day Healthcare Services,llc | Eyewear Supplier (Equipment, not the service) | 47 North Westwood Avenue, Toledo, OH 43607 | 2010-03-29 |
| 1689904088 | Alicia Y Stasher | Licensed Practical Nurse | 55 San Rafael, Toledo, OHIO 43607 | 2010-01-06 |
| 1609381755 | Natalie A Colley | Social Worker | 905 Nebraska Ave, Toledo, OH 43607 | 2017-12-12 |
| 1578003240 | Taylor Rodriguez | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607 | 2017-03-01 |
| 1891163424 | Brittany Flory | Speech-Language Pathologist | 3001 Hill Ave, Toledo, OH 43607 | 2015-09-14 |
| Find all providers in zip 43607 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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|---|---|---|---|---|
| 1225528938 | Wellcare Health System, LLC | Special Hospital | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
| 1710323456 | Ann Arbor Va Medical Center | Special Hospital | 1200 S Detroit Ave, Toledo, OH 43614-5903 | 2013-05-21 |
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| 1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
| 1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
| 1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
| 1952832305 | Long Island Jewish Forest Hills Hospital | Special Hospital | 3590 Blackberry Ln, Westlake, OH 44145-7400 | 2017-03-27 |
| 1770025652 | Aultman Radiation Oncology of Alliance Community Hosp | Special Hospital | 885 South Sawburg Ave Suite 108, Alliance, OH 44601-5926 | 2016-11-09 |
| 1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
| 1558785329 | Saskia Richter | Special Hospital | 1442 Neil Ave Apt A, Columbus, OH 43201-2651 | 2014-02-13 |
| 1750626735 | Acuity Specialty Hospital | Special Hospital | 4697 Harrison St Fl 2, Bellaire, OH 43906-1338 | 2012-12-03 |
| 1619288099 | Osumc James Cancer Hosptial | Special Hospital | 660 Ackerman Rd Fl 5, Columbus, OH 43202-4500 | 2010-06-30 |
| 1033394614 | Louis Stokes Cleveland Va Medical Center | Special Hospital | 27030 Cedar Rd Apt 1212, The Hamptons, Beachwood, OH 44122-1195 | 2008-01-02 |
| 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.