Active NPI
Children'S Hospital Medical Center
- Community Based Hospice Care Agency
- Cincinnati, OH
National Provider Identifier
1154469930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CHILDREN'S HOSPITAL MEDICAL CENTER
- Practice address
- 660 Lincoln Ave
Cincinnati, OH 45206-1100 - Phone
- (513) 636-4225
- Fax
- (513) 636-2511
- NPI assigned
- Feb 2, 2007
- Organization subpart
- Yes
- Parent organization
- CHILDREN'S HOSPITAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jodianne Broomall
- Title
- Sr Director Billing & Coding Serv
- Phone
- (513) 636-5047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
660 Lincoln Ave
Cincinnati, OH 45206-1100
Mailing address
3333 Burnet Avenue
Mail Location 5021
Cincinnati, OH 45229-3039
Phone (513) 636-4225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054306 | Medicaid | OH |
Other names 1
- Children's Hospital Medical Center - StarShine Hospice
Care Compare: Hospice
Medicare Care Compare- Listed as
- Starshine Hospice of Childrens Hospital
- Ownership
- Non-Profit
- Certified
- Apr 1, 1997
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider Directory- Part of
- Children'S Hosp Medical Ctr
Locations
3333 Burnet Ave
#3024
Cincinnati, OH 45229
Phone (513) 803-4829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596585600000",
"number": "1154469930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "MAIL LOCATION 5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 LINCOLN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061100",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A",
"authorized_official_last_name": "BROOMALL",
"authorized_official_first_name": "JODIANNE",
"authorized_official_title_or_position": "SR DIRECTOR BILLING & CODING SERV",
"authorized_official_telephone_number": "513-636-5047",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2054306",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Hospital Medical Center - StarShine Hospice",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Children's Hospital Medical Center - StarShine Hospice",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.