NPIMap

Organization Active NPI

Children's Hospital Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Cincinnati, OH
National Provider Identifier
1366580391
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHILDREN'S HOSPITAL MEDICAL CENTER
Practice address
660 Lincoln Ave
Cincinnati, OH 45206-1100
Phone
(513) 636-4225
Fax
(513) 636-2511
NPI assigned
Feb 2, 2007
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Mrs. Jodianne Broomall
Title
Sr Director Billing & Coding Serv
Phone
(513) 636-5047

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU

Addresses

Primary practice location

660 Lincoln Ave
Cincinnati, OH 45206-1100

Mailing address

3337 Solutions Center
Box 773337
Chicago, IL 60677-3003
Phone (513) 636-4225

Other identifiers 8

IdentifierTypeStateIssuer
90272287MedicaidKY
2800026MedicaidOH
4582369MedicaidTN
45013133MedicaidKY
0173998003MedicaidWV
DM1193MedicaidSC
200908880AMedicaidIN
874893880MedicaidMI

Other names 1

  • Children's Hospital Medical Center - Home Health DME Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065815 OH DME Supplier - PharmacyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - HospitalDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 8426955733 Practice locations: Cincinnati, OH

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Cincinnati Children's Hospital Medical Center14 organizations share this tax ID, including this one
Part of
Cincinnati Children's Hospital Medical Center

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Children's Hospital Medical CenterCincinnati, OH, CCN 367569 Home health agency Operational/Managerial Control Feb 1, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1366580391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 SOLUTIONS CENTER",
            "address_2": "BOX 773337",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773003",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LINCOLN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061100",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "BROOMALL",
        "authorized_official_first_name": "JODIANNE",
        "authorized_official_title_or_position": "SR DIRECTOR BILLING & CODING SERV",
        "authorized_official_telephone_number": "513-636-5047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90272287",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2800026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582369",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45013133",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173998003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1193",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200908880A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874893880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital Medical Center - Home Health DME",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Children's Hospital Medical Center - Home Health DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.