Active NPI
United Church Homes Management
- Parenteral & Enteral Nutrition Supplies (DME)
- Marion, OH
National Provider Identifier
1295755189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 51-022729
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007338431 | Other | OH | ATHENA |
| 000000155149 | Other | OH | ANTHEM |
| 0854320 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.