Organization Active NPI

Grove Home Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Dover, OH
National Provider Identifier
1003811084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GROVE HOME MEDICAL, INC
Practice address
849 Boulevard St
Dover, OH 44622-2007
Phone
(330) 343-6153
Fax
(330) 364-1769
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William V Grove
Title
President
Phone
(330) 343-6153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

849 Boulevard St
Dover, OH 44622-2007

Mailing address

849 Boulevard St
Dover, OH 44622-2007
Phone (330) 343-6153

Other identifiers 2

IdentifierTypeStateIssuer
0508141MedicaidOH
000000155612OtherOHANTHEM #

National Provider Directory

National Provider Directory

Locations

849 Boulevard St
Dover, OH 44622
Phone (330) 343-6153

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003811084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222007",
            "telephone_number": "330-343-6153",
            "fax_number": "330-364-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222007",
            "telephone_number": "330-343-6153",
            "fax_number": "330-364-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE HOME MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-343-6153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0508141",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM #",
            "identifier": "000000155612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.