PROMEDICA CONTINUING CARE SERVICES CORP (NPI# 1902881824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902881824 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CONTINUING CARE SERVICES CORP |
| Other Organization Name | PROMEDICA HOME MEDICAL EQUIPMENT |
| Practice Address |
770 Riverside Ave Suite 104 Adrian MI 49221-1476 |
| Mailing Address |
1801 Richards Rd Toledo OH 43607-1037 |
| Practice Telephone | 5172662568 |
| Practice Fax Number | 5172661036 |
| Mailing Telephone | 4194693780 |
| Mailing Fax Number | 4194693781 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | GLADEEN A ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 4194693780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CARECHOICES OF MI | 139856 | 01 |
| MI | PARAMOUNT HEALTH CARE | 10133 | 01 |
| Other Name | Type Code |
|---|---|
| Promedica Home Medical Equipment | 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 |
| 1013903749 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 4345 Secor Rd, Suite B, Toledo, OH 43623-4233 | 2005-09-27 |
| 1467447177 | Promedica Continuing Care Services Corp | Durable Medical Equipment & Medical Supplies | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-09-19 |
| Street Address |
770 RIVERSIDE AVE SUITE 104 |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758650 | Asuncion Q Luz | Pediatrics | 770 Riverside Ave, Suite 17, Adrian, MI 49221-1476 | 2005-05-23 |
| 1639699408 | Christopher Donald Valkier | Podiatrist | 770 Riverside Ave, Adrian, MI 49221-1476 | 2017-06-22 |
| 1043690753 | Lisa Schultz | Counselor | 770 Riverside Ave, 11, Adrian, MI 49221-1476 | 2015-06-08 |
| 1710395439 | Tracy Salazar | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1445 | 2014-07-25 |
| 1780091751 | Joyce Faulhaber | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2014-07-22 |
| 1194132449 | Gerald Nelson Mccullough | Counselor | 770 Riverside Ave, Ste 11, Adrian, MI 49221-1476 | 2014-07-18 |
| 1417391673 | Grady Elam | Social Worker | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2013-04-18 |
| 1467731117 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1476 | 2011-08-12 |
| 1609011311 | Scott R. Smith Dds.,pc | Dentist | 770 Riverside Ave, Suite #201, Adrian, MI 49221-1476 | 2008-12-09 |
| 1467630616 | Southeastern Orthopedics PC | Orthopaedic Surgery | 770 Riverside Ave, Ste 105, Adrian, MI 49221-1476 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306168083 | Pharmacy Counter, LLC | Durable Medical Equipment & Medical Supplies | 2070 E Us Highway 223 Ste B, Adrian, MI 49221 | 2010-02-22 |
| 1851431308 | Meijer, Inc | Durable Medical Equipment & Medical Supplies | 217 E Us Highway 223, Adrian, MI 49221-4215 | 2007-02-07 |
| 1427147297 | Mitchell Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1416 S Main St, Adrian, MI 49221-4364 | 2006-10-12 |
| 1457452500 | Christian Health Services | Durable Medical Equipment & Medical Supplies | 107 S Broad St, Suite 1, Adrian, MI 49221-2752 | 2006-09-25 |
| 1477659779 | Adrian Kreisler Drug Inc. | Durable Medical Equipment & Medical Supplies | 21 E Main St., Adrian, MO 64720 | 2006-09-15 |
| 1285743740 | Apex Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1200 South Main Street, Southland Plaza Suite A, Adrian, MI 49221-4366 | 2006-08-29 |
| 1003833211 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1601 E Us Highway 223, Adrian, MI 49221-4454 | 2006-07-16 |
| 1215978648 | Adrian Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 700 E Church St, Adrian, MI 49221-3079 | 2006-06-09 |
| 1255483038 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 777 Kimole Ln, Suite 130, Adrian, MI 49221-1478 | 2007-01-18 |
| 1487669529 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 706 S Main St, Adrian, MI 49221-3722 | 2006-07-29 |
| Find all providers in ADRIAN | ||||
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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.