Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pristine Residential Care

Organization Case Management Agency · NPI 1699499798

Pristine Residential Care is a Case Management Agency in Toledo, Ohio. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
7
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Practice location Address checks out

709 Lodge Ave
Toledo, OH 43609-2915
Phone: (567) 702-1078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X
Secured Medical Transport (VAN) Taxonomy 343800000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1699499798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demetria Clark — Ceo · (567) 702-1078
NPI enumeratedOctober 3, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 2, 2022
Mailing address709 Lodge Ave, Toledo, OH 43609-2915

Other providers in Toledo