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).
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 |
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 |
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 Name | Type Code |
---|---|
Peake Care | Doing Business As Name - Organization |
Street Address |
5830 WOODROW DR |
City | SYLVANIA |
State | OH |
Zip Code | 43560-1245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467635664 | Carol I Peake | Nurse Practitioner | 5830 Woodrow Dr, Sylvania, OH 43560-1245 | 2007-12-11 |
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 |
Find all providers in zip 43560 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1740837160 | Bf Empowerment Center LLC | Clinic/Center | 526 S Main St Ste 107, Akron, OH 44311-4401 | 2019-08-20 |
1497218077 | Wecare Tlc- Frontpath | Clinic/Center | 1090 W South Boundary St Ste 200, Perrysburg, OH 43551-5278 | 2019-04-10 |
1013474857 | Dose Anesthesia | Clinic/Center | 5423 Mahoning Ave Ste G, Austintown, OH 44515-2435 | 2019-02-28 |
1962986372 | Shannon Jap Md LLC | Clinic/Center | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2018-09-20 |
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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.