Organization Active NPI

Little Sisters of the Poor

  • Nursing Facility/Intermediate Care Facility
  • Oregon, OH
National Provider Identifier
1619965456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2392N Issued in OH
Legal business name
LITTLE SISTERS OF THE POOR
Practice address
930 S Wynn Rd
Oregon, OH 43616-3530
Phone
(419) 698-4331
Fax
(419) 698-1109
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Josephine Campbell
Title
Administrator
Phone
(419) 698-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2392N OH Primary

Addresses

Primary practice location

930 S Wynn Rd
Oregon, OH 43616-3530

Mailing address

930 S Wynn Rd
Oregon, OH 43616-3530
Phone (419) 698-4331

Other identifiers 1

IdentifierTypeStateIssuer
2430275MedicaidOH

Other names 1

  • Sacred Heart Home Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619965456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S WYNN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163530",
            "telephone_number": "419-698-4331",
            "fax_number": "419-698-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S WYNN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163530",
            "telephone_number": "419-698-4331",
            "fax_number": "419-698-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SISTERS OF THE POOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-698-4331",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "2392N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.