CAROL I PEAKE LLC


Address: 5830 Woodrow Dr, Sylvania, OH 43560-1245
Phone: 4194882089

CAROL I PEAKE LLC (NPI# 1992015135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992015135
Entity Type Organization
Organization Name CAROL I PEAKE LLC
Other Organization Name PEAKE CARE
Practice Address 5830 Woodrow Dr
Sylvania
OH 43560-1245
Practice Telephone 4194882089
Mailing Telephone 4194882089
Enumeration Date 2010-10-20
Last Update Date 2010-11-20
Authorized Official Name MRS. CAROL I. PEAKE (FNP)
Authorized Official Telephone 41948810890
Authorized Official Credential NP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 275N00000X Medicare Defined Swing Bed Unit 2127186 OH Hospital Units
N 276400000X Rehabilitation, Substance Use Disorder Unit 177151 OH Hospital Units
N 281P00000X Chronic Disease Hospital 1467635664 OH Hospitals
N 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
1992015135 OH Nursing & Custodial Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
177151 OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH CAROL PEAKE, RN, BSN 177151 01
MI CAROL PEAKE, BSN 2127186 01
MI CAROL PEAKE, NP-C 4704194858 01
OH CAROL PEAKE, NP-C 4704194858 01

Other Provider/Organization Names

Other Name Type Code
Peake Care Doing Business As Name - Organization

Office Location

Street Address 5830 WOODROW DR
City SYLVANIA
State OH
Zip Code 43560-1245

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467635664 Carol I Peake Nurse Practitioner 5830 Woodrow Dr, Sylvania, OH 43560-1245 2007-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295332732 Jonelyn Hutchinson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5628 Fox Hollow Ct, Sylvania, OH 43560 2020-10-07
1285190611 Karen Marie Mccartney Occupational Therapy Assistant Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 2019-02-11
1063936136 Christina Cousino Family Medicine 7228 Ridgeland Rd, Sylvania, OH 43560 2017-08-01
1053858159 Scott Campbell Counselor 5808 Monroe St Suite A2, Sylvania, OH 43560 2017-01-26
1932658549 Trilogy Healthcare of Sylvania LLC Skilled Nursing Facility 5351 Mitchaw Road, Sylvania, OH 43560 2016-09-23
1730546300 Ashley Lynn Sendelbach Speech-Language Pathologist 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 2016-01-27
1881078533 Khader Mustafa Internal Medicine 5700 Monroe St Unit 202, Sylvania, OH 43560 2015-07-13
1013391903 Res-care Ohio, Inc. Intermediate Care Facility, Mentally Retarded 2631 Davidson Drive, Toledo, OH 43560 2015-07-10
1104212596 Emily Elyse Miller Speech-Language Pathologist 4121 King Road, Maumee, OH 43560 2015-04-13
1750706404 Victoria Davis Speech-Language Pathologist 7962 Millford, Sylvania, OH 43560 2014-03-04
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City SYLVANIA
Zip Code 43560

Improve Information

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Dataset Information

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.

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