Healthcare Provider Details
I. General information
NPI: 1245284736
Provider Name (Legal Business Name): OUTSOURCE MEDICAL ENTERPRISE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1302 ELMWOOD AVE
TOLEDO OH
43606-4716
US
IV. Provider business mailing address
1302 ELMWOOD AVE
TOLEDO OH
43606-4716
US
V. Phone/Fax
- Phone: 419-944-4697
- Fax:
- Phone: 419-944-4697
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIDGET
JONES
Title or Position: CEO
Credential:
Phone: 419-944-4697