Organization Active NPI

United Church Homes Management

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Marion, OH
National Provider Identifier
1295755189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
51-022729 Issued in OH
Legal business name
UNITED CHURCH HOMES MANAGEMENT
Practice address
170 E Center St
Marion, OH 43302-1806
Phone
(937) 293-1313
NPI assigned
Jul 20, 2006
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
Brian Allen
Title
Ceo
Phone
(740) 382-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 51-022729 OH Primary

Addresses

Primary practice location

170 E Center St
Marion, OH 43302-1806

Mailing address

1313 W Dorothy LN
Dayton, OH 45409-1309
Phone (937) 293-1313

Other identifiers 3

IdentifierTypeStateIssuer
0007338431OtherOHATHENA
000000155149OtherOHANTHEM
0854320MedicaidOH

National Provider Directory

National Provider Directory

Locations

1313 W Dorothy Ln
Dayton, OH 45409

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295755189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W DOROTHY LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091309",
            "telephone_number": "937-293-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021806",
            "telephone_number": "937-293-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-382-4885"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "51-022729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHENA",
            "identifier": "0007338431",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155149",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0854320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, 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.