Organization Active NPI

Hennis Care Center of Dover

  • Clinical Medical Laboratory
  • Dover, OH
National Provider Identifier
1629304472
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HENNIS CARE CENTER OF DOVER
Practice address
1720 N Cross St
Dover, OH 44622-1043
Phone
(330) 364-8849
NPI assigned
Oct 29, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Mr. Harold Baker
Title
Controller
Phone
(330) 364-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1720 N Cross St
Dover, OH 44622-1043

Mailing address

1720 N Cross St
Dover, OH 44622-1043

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0342755Hennis Care Centre of Dover1720 Cross Street, Dover, OH 44622Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hennis Care Center of Dover2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1629304472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N CROSS ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N CROSS ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221043",
            "telephone_number": "330-364-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNIS CARE CENTER OF DOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "330-364-8849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.