Demetrius of Forty Churches LLC

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

License

20080989 Issued in OH

Legal business name

DEMETRIUS OF FORTY CHURCHES LLC

Practice address

3620 Lightner Rd
Vandalia, OH 45377-9569

Phone

(937) 506-8487

Fax

(937) 506-8490

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lindsey Cherry

Title

General Manager

Phone

(937) 506-8487

Specialties & licenses 1

Addresses

Other names 1

• Ahlers Meals Doing business as

Locations

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1114178118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 LIGHTNER RD",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779569",
            "telephone_number": "937-506-8487",
            "fax_number": "937-506-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LIGHTNER RD",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779569",
            "telephone_number": "937-506-8487",
            "fax_number": "937-506-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRIUS OF FORTY CHURCHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "937-506-8487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "OH",
            "license": "20080989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahlers Meals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Elyse Dawson
• Jennifer Lynn Dawson, LPN
• Sheila Dean
• Toby Deck, LICDC
• Neva Carissa Dehart, CNM
• Adam Deppen, PHARMD
• Christine G Dienna, D.O.
• Dixie a Dooley, DPM Inc
• Tina M Donovan
• Hannah Dressman

• Home Delivered Meals in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Home Delivered Meals in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.