NPIMap

Organization Active NPI

National Church Residences Medical Home

Doing business as National Church Residences Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dublin, OH
National Provider Identifier
1356059372
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
NATIONAL CHURCH RESIDENCES MEDICAL HOME
Doing business as
National Church Residences Palliative Care
Practice address
5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone
(614) 457-6950
NPI assigned
Nov 8, 2022
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL CHURCH RESIDENCES MEDICAL HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Brianna Mettler
Title
President
Phone
(614) 451-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

5475 Rings Rd Ste 300
Dublin, OH 43017-7537

Mailing address

5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone (614) 451-2151

Other names 1

  • National Church Residences Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000255 OH Part B Supplier - Clinic/Group Practice 7012178171 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Dublin, OH; Waverly, OH

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
National Church Residences Medical Home2 organizations share this tax ID, including this one
Part of
National Church Residences Medical Home

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1185 E Broad St
Columbus, OH 43205
Phone (614) 253-1185

240 N Champion Ave
Columbus, OH 43203
Phone (614) 253-1185

3349 E Livingston Ave
Columbus, OH 43227
Phone (614) 235-4426

500 N Nelson Rd
Columbus, OH 43219
Phone (614) 228-2988

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1356059372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 RINGS RD STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177537",
            "telephone_number": "614-451-2151",
            "fax_number": "614-442-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 RINGS RD STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177537",
            "telephone_number": "614-457-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CHURCH RESIDENCES MEDICAL HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL CHURCH RESIDENCES MEDICAL HOME",
        "enumeration_date": "2022-11-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "METTLER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-451-2151"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Church Residences Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.