GREAT LAKES MEDICAL STAFFING
NPI 1801091202
Home Health in Perrysburg, OH
- Organization
- Home Health
About GREAT LAKES MEDICAL STAFFING
This page provides the complete NPI Profile along with additional information for Great Lakes Medical Staffing, a provider established in Perrysburg, Ohio operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1801091202 assigned on June 2007. The practitioner's primary taxonomy code is 251E00000X with license number 1103334 (OH). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Great Lakes Medical Staffing. The authorized official of this NPI record is Evan Kyle Prueter (President)
- NPI
- 1801091202 Verify this NPI
- Provider Legal Name
- PRUETER ENTERPRISES LTD
- Other Organization Name
- GREAT LAKES MEDICAL STAFFING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1021 SANDUSKY ST STE B PERRYSBURG, OH 43551
- Location Phone
- (419) 872-5343
- Location Fax
- (419) 872-7465
- Mailing Address
- 1021 SANDUSKY ST STE B PERRYSBURG, OH 43551
- Mailing Phone
- (419) 872-5343
- Mailing Fax
- (419) 872-7465
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 1103334
- License State
- OH
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801091202, enumerated as an "organization" on June 18, 2007.
The provider is located at 1021 SANDUSKY ST STE B PERRYSBURG, OH 43551 and the phone number is (419) 872-5343.
Home Health with taxonomy code 251E00000X.
