Organization Active NPI

Sourcepoint

  • Home Delivered Meals
  • Delaware, OH
National Provider Identifier
1487068581
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
SOURCEPOINT
Practice address
800 Cheshire Rd
Delaware, OH 43015-6038
Phone
(740) 363-6677
Fax
(740) 363-7588
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Kimberly Marie Clewell
Title
Director of Operations
Phone
(740) 203-2353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

800 Cheshire Rd
Delaware, OH 43015-6038

Mailing address

800 Cheshire Rd
Delaware, OH 43015-6038
Phone (740) 363-6677

Other identifiers 1

IdentifierTypeStateIssuer
2050622MedicaidOH

Other names 1

  • Council for Older Adults Former legal business name

National Provider Directory

National Provider Directory

Locations

800 Cheshire Rd
Delaware, OH 43015
Phone (740) 363-6677

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1487068581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHESHIRE RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430156038",
            "telephone_number": "740-363-6677",
            "fax_number": "740-363-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHESHIRE RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430156038",
            "telephone_number": "740-363-6677",
            "fax_number": "740-363-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCEPOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "CLEWELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "740-203-2353"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050622",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council for Older Adults",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.