Active NPI
Mercy Health - Clermont Hospital LLC
- Home Health Agency
- Batavia, OH
National Provider Identifier
1063598217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MERCY HEALTH - CLERMONT HOSPITAL LLC
- Practice address
- 3000 Hospital Dr
Batavia, OH 45103-1921 - Phone
- (513) 732-8200
- Fax
- (513) 732-8537
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark D Shugarman
- Title
- Ceo
- Phone
- (513) 732-8303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3000 Hospital Dr
Batavia, OH 45103-1921
Mailing address
4600 McAuley PL
5TH Floor - Finance
Cincinnati, OH 45242-4733
Phone (513) 981-6696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0960965 | Medicaid | OH |
Other names 1
- Mercy Hospital Clermont (Home Care)
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1063598217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MCAULEY PL",
"address_2": "5TH FLOOR - FINANCE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424733",
"telephone_number": "513-981-6696",
"fax_number": "513-981-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HOSPITAL DR",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451031921",
"telephone_number": "513-732-8200",
"fax_number": "513-732-8537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH - CLERMONT HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "SHUGARMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "513-732-8303",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0960965",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Hospital Clermont (Home Care)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mercy Hospital Clermont (Home Care)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Batavia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.