NPIMap

Organization Active NPI

Compassion Health Toledo

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
National Provider Identifier
1154872166
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPASSION HEALTH TOLEDO
Practice address
1638 Broadway St
Toledo, OH 43609-3240
Phone
(567) 661-0565
NPI assigned
Oct 14, 2016
Last updated
Mar 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Anne Ruch, MDNPI 1033111083
Title
Executive Director
Phone
(419) 304-6480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1638 Broadway St
Toledo, OH 43609-3240

Mailing address

1638 Broadway St
Toledo, OH 43609-3240
Phone (567) 661-0565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170905000890 OH Part B Supplier - Clinic/Group Practice 5496028946 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
Practice locations: Toledo, OH
O20210210003225 OH Part A Provider - Federally Qualified Health Center (FQHC) 5496028946 Practice locations: Toledo, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154872166. Details of each certification follow.

Federally qualified health center certification: CCN 721875

Legal name
COMPASSION HEALTH TOLEDO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 5, 2021
Last certification
Feb 5, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 26, 2015 in OH
Enrollment address
1638 Broadway St
Toledo, OH 43609-3240

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1638 Broadway St
Toledo, OH 43609
Phone (567) 661-0565

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avery Cooper Individual Corporate Director Jan 1, 2022
Calvin Sweeney Individual Corporate DirectorBoard Member Aug 1, 2019
Jo Hines Individual Corporate DirectorBoard Member Aug 1, 2023
William Rudolph Individual Corporate OfficerChair of Board Mar 1, 2015
John K. Graham Individual Corporate DirectorBoard Member Aug 1, 2020
Anne Bauman Individual Corporate OfficerChief Operational Officer Apr 29, 2019
W-2 Managing EmployeeChief of Operations Apr 29, 2019
Operational/Managerial ControlChief of Operations Apr 29, 2019
Kennetta Jones Individual Corporate OfficerSecretary Oct 1, 2019
Anne M Ruch Individual Corporate OfficerChief Executive Officer Mar 1, 2015
W-2 Managing EmployeeChief Executive Officer Mar 1, 2015
Operational/Managerial ControlChief Executive Officer Mar 1, 2015
Celeste Taylor Individual Corporate DirectorBoard Member May 1, 2018
Keith Schlender Individual Corporate DirectorBoard Member Jun 1, 2020
Lisa Lawrence Individual Corporate DirectorBoard Member Aug 1, 2025
Laura Rudolph Individual Corporate DirectorBoard Member Apr 1, 2015
Renee Harris Individual Corporate DirectorBoard Member May 1, 2018
Janet Robinson Individual Corporate DirectorBoard Member Mar 1, 2015
Beverly Moore Individual Corporate DirectorBoard Member Jul 1, 2023
Mark Jacoby Individual Corporate OfficerChief Financial Officer Mar 1, 2020
Operational/Managerial ControlChief Financial Officer Mar 1, 2020
Jacob Calhoun Individual Corporate OfficerTreasurer Jul 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Anne T Ruch, MD
    • Obstetrics & Gynecology Physician
    • Maumee, OH
    • NPI 1033111083

    Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1154872166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436093240",
            "telephone_number": "567-661-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436093240",
            "telephone_number": "567-661-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION HEALTH TOLEDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "RUCH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-304-6480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.