NPIMap

Organization Active NPI

Heart of Ohio Family Health Centers

Doing business as Heart of Ohio Family Health @ Canal Winchester

  • Federally Qualified Health Center (FQHC)
  • Canal Winchester, OH
National Provider Identifier
1578083234
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEART OF OHIO FAMILY HEALTH CENTERS
Doing business as
Heart of Ohio Family Health @ Canal Winchester
Practice address
3601 Gender Rd
Canal Winchester, OH 43110-9739
Phone
(614) 235-5555
Fax
(614) 536-1994
NPI assigned
Jun 23, 2017
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HEART OF OHIO FAMILY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Yammah Morgan
Title
Chief Operating Officer
Phone
(614) 235-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OH Primary

Addresses

Primary practice location

3601 Gender Rd
Canal Winchester, OH 43110-9739

Mailing address

PO Box 632127
Cincinnati, OH 45263-3003
Phone (614) 235-5555

Other practice location 1

2365 Innis Rd
Columbus, OH 43224-3730
Phone (614) 235-5555

Other identifiers 2

IdentifierTypeStateIssuer
2913066MedicaidOH
0265791MedicaidOH

Other names 2

  • Heart of Ohio Family Health @ Canal Winchester Doing business as
  • Chantry Family Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080903000159 OH Part B Supplier - Public Health/Welfare Agency 7416039839 Receives reassigned benefits from 55 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canal Winchester, OH; Columbus, OH; Westerville, OH
O20171108000447 OH Part A Provider - Federally Qualified Health Center (FQHC) 7416039839 Practice locations: Canal Winchester, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578083234. Details of each certification follow.

Federally qualified health center certification: CCN 361141

Legal name
HEART OF OHIO FAMILY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 7, 2017
Last certification
Nov 7, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 2007 in OH
Enrollment address
3601 Gender Rd
Canal Winchester, OH 43110-9739

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Heart of Ohio Family Health11 organizations share this tax ID, including this one
Part of
Heart of Ohio Family Health

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rita Corbin Individual Corporate OfficerBoard Member Feb 27, 2008
Maureen Black Individual Corporate DirectorBoard Member May 1, 2021
Yammah Morgan Individual Corporate Officer Aug 1, 2017
Julie Friedlander Individual Corporate DirectorBoard Member Oct 1, 2019
Gloria Coyan Individual Corporate DirectorBoard Member Dec 1, 2015
Angelita Thomas Individual Corporate DirectorCfo Nov 5, 2018
W-2 Managing EmployeeCfo Nov 5, 2018
Mohammed Buhari Mohammed Individual Corporate OfficerCeo Apr 1, 2018
W-2 Managing EmployeeCeo Apr 1, 2018

Practitioners & affiliated clinicians

Practitioners 12

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": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1578083234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632127",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452633003",
            "telephone_number": "614-235-5555",
            "fax_number": "614-536-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109739",
            "telephone_number": "614-235-5555",
            "fax_number": "614-536-1994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2365 Innis Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432243730",
            "country_code": "US",
            "telephone_number": "614-235-5555",
            "fax_number": "614-536-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART OF OHIO FAMILY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART OF OHIO FAMILY HEALTH CENTERS",
        "enumeration_date": "2017-06-23",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "YAMMAH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "614-235-5555"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2913066",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Ohio Family Health @ Canal Winchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chantry Family Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.