Organization Active NPI

Guernsey County Senior Citizens Center, Inc.

  • Home Delivered Meals
  • Cambridge, OH
National Provider Identifier
1235342858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
GUERNSEY COUNTY SENIOR CITIZENS CENTER, INC.
Practice address
1022 Carlisle Ave
Cambridge, OH 43725-2420
Phone
(740) 439-6681
Fax
(740) 439-7478
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shon E Gress
Title
Executive Director
Phone
(740) 439-6681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

1022 Carlisle Ave
Cambridge, OH 43725-2420

Mailing address

1022 Carlisle Ave
Cambridge, OH 43725-2420
Phone (740) 439-6681

Other identifiers 1

IdentifierTypeStateIssuer
0808237MedicaidOH

National Provider Directory

National Provider Directory

Locations

1022 Carlisle Ave
Cambridge, OH 43725
Phone (740) 439-6681

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235342858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 CARLISLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252420",
            "telephone_number": "740-439-6681",
            "fax_number": "740-439-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 CARLISLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252420",
            "telephone_number": "740-439-6681",
            "fax_number": "740-439-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUERNSEY COUNTY SENIOR CITIZENS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESS",
        "authorized_official_first_name": "SHON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-439-6681"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808237",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.