Active NPI
Hennis Care Center of Dover
- Clinical Medical Laboratory
- Dover, OH
National Provider Identifier
1629304472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0342755 | Hennis Care Centre of Dover | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Hennis Care Center of Dover
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Dover, OH
- NPI 1689613523
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.