Mennonite Memorial Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

36-7650 Issued in OH

Legal business name

MENNONITE MEMORIAL HOME

Doing business as

Mennonite Memorial Home Health Services

Practice address

410 W Elm St
Bluffton, OH 45817-1122

Phone

(419) 358-7803

NPI assigned

Sep 12, 2006

Last updated

Aug 19, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MENNONITE MEMORIAL HOMEAs reported in NPPES

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

Authorized official

Name

Mr. Daren Lee

Title

Ceo

Phone

(419) 358-7803

Specialties & licenses 1

Addresses

Other names 1

• Mennonite Memorial Home Health Services Doing business as

Part of

Mennonite Memorial Home Communities of Ohio

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1598869158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W. ELM ST.",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "45817",
            "telephone_number": "419-358-7803",
            "fax_number": "419-358-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W ELM ST",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171122",
            "telephone_number": "419-358-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Pinebrook Dr",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "OH",
            "postal_code": "458171145",
            "country_code": "US",
            "telephone_number": "419-358-7803",
            "fax_number": "419-358-4269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENNONITE MEMORIAL HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENNONITE MEMORIAL HOME",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-358-7803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "36-7650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mennonite Memorial Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Mays
• Malary Kay McBride, WHNP-BC
• Mennonite Memorial Home (Willow Ridge of Mennonite Home Communities of Ohio)
• Mennonite Memorial Home (Willow Ridge of Mennonite Home Communities of Ohio)
• Mennonite Memorial Home (Maple Crest Senior Living Village)
• Mennonite Memorial Home
• Mennonite Memorial Home
• Mennonite Memorial Home Communities of Ohio
• Breanna Miller, LSW
• Lorraine Kathryn Nester, RD, LD, IBCLC

• Home Health Agency in Bluffton, OH
• Providers in Bluffton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.