NPIMap

Organization Active NPI

Wyandot Memorial Hospital

Doing business as Hospice of Wyandot Memorial Hospital

  • Community Based Hospice Care Agency
  • Upper Sandusky, OH
National Provider Identifier
1629846548
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WYANDOT MEMORIAL HOSPITAL
Doing business as
Hospice of Wyandot Memorial Hospital
Practice address
105 Houpt Dr
Upper Sandusky, OH 43351-9201
Phone
(419) 294-5787
Fax
(419) 294-4094
NPI assigned
Dec 20, 2023
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WYANDOT MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Mary Anne Schwenning
Title
Provider Enrollment Specialist
Phone
(419) 294-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

105 Houpt Dr
Upper Sandusky, OH 43351-9201

Mailing address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone (419) 294-4991

Other names 1

  • Hospice of Wyandot Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210203003035 OH Part A Provider - Hospice 1557340189 1 other NPI on this enrollment
Practice locations: Upper Sandusky, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629846548. Details of each certification follow.

Hospice certification: CCN 361535

Legal name
WYANDOT MEMORIAL HOSPITAL
Doing business as
HOSPICE OF WYANDOT MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 19, 1989
Last certification
May 20, 2021
Ownership / control type
Non-Profit - Other
Organization structure
OtherNon-profit
Enrollment address
105 Houpt Dr
Upper Sandusky, OH 43351-9201

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Wyandot Memorial HospitalCCN 361535 · All quality measures
Ownership
For-Profit
Certified
Apr 19, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Wyandot Memorial Hospti10 organizations share this tax ID, including this one
Part of
Wyandot Memorial Hospti

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Rob McClure Individual Corporate DirectorBoard Member Aug 1, 2018
Lindsay J Taylor Individual W-2 Managing EmployeeHospice Administrator Apr 6, 2024
Operational/Managerial ControlHospice Administrator Apr 6, 2024
Jeff Bowen Individual Corporate DirectorBoard Member Jan 1, 2023
Roberta S Sigler Individual Corporate DirectorBoard Member Aug 1, 2017
Kendra Noyes Individual Corporate OfficerPresident and Ceo Jul 1, 2025
W-2 Managing EmployeePresident and Ceo Jun 26, 2000
David Courtad Individual Corporate OfficerBoard Member Jan 1, 2025
Mary Anne Schwenning Individual W-2 Managing Employee Sep 30, 2005
Peter J Schuler Individual W-2 Managing EmployeePhysician May 3, 2010
Operational/Managerial ControlHospice Medical Director Oct 1, 2023
Krista Kenner Individual W-2 Managing EmployeeCredentialing/Enrollment Specialist Apr 7, 2014
Kyle Bowman Individual Corporate DirectorBoard Member & Chairman Oct 1, 2004
Beth Smith Individual Corporate DirectorBoard Member Jan 1, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wyandot Memorial HospitalUpper Sandusky, OH, CCN 361329 Hospital Operational/Managerial Control Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Change-of-ownership history 1

DateEventCounterparty
Nov 15, 2020 Change of OwnershipThis provider was the buyer Hospice of Wyandot CountyCCN 361535, OH, NPI 1194707786

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1629846548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511098",
            "telephone_number": "419-294-4991",
            "fax_number": "419-209-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOUPT DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519201",
            "telephone_number": "419-294-5787",
            "fax_number": "419-294-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYANDOT MEMORIAL HOSPITAL",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "SCHWENNING",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "419-294-4991"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Wyandot Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.