Organization Active NPI

Hocking Athens Perry Community Action Agency

Doing business as Hocking Athens Perry Community Action

  • Meals Provider
  • Glouster, OH
National Provider Identifier
1053686022
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY
Doing business as
Hocking Athens Perry Community Action
Practice address
3 Cardaras Dr
Glouster, OH 45732-8011
Phone
(740) 767-4500
Fax
(740) 767-1093
NPI assigned
Mar 9, 2012
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Naomi Squires
Title
Foodbank Operations Director
Phone
(740) 385-6813

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 071944 OH
Meals Provider 174200000X Primary

Addresses

Primary practice location

3 Cardaras Dr
Glouster, OH 45732-8011

Mailing address

PO Box 220
3 Cardaras Drive
Glouster, OH 45732
Phone (740) 767-4500

Other names 1

  • Hocking Athens Perry Community Action Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0974661Hocking Athens Perry Community Action3 Cardaras Drive, Glouster, OH 45732Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory

Locations

3 Cardaras Dr
Glouster, OH 45732
Phone (740) 767-4500

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1053686022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "3 CARDARAS DRIVE",
            "city": "GLOUSTER",
            "state": "OH",
            "postal_code": "45732",
            "telephone_number": "740-767-4500",
            "fax_number": "740-767-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARDARAS DR",
            "city": "GLOUSTER",
            "state": "OH",
            "postal_code": "457328011",
            "telephone_number": "740-767-4500",
            "fax_number": "740-767-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "FOODBANK OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "740-385-6813"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OH",
            "license": "071944",
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hocking Athens Perry Community Action",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glouster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.