NPIMap

Organization Active NPI

Carehere LLC

  • Adult Medicine Physician
  • New Boston, OH
National Provider Identifier
1639714439
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
CAREHERE LLC
Practice address
3879 Rhodes Ave
New Boston, OH 45662-6002
Phone
(615) 221-5901
NPI assigned
Nov 15, 2019
Organization subpart
Yes
Parent organization
CAREHERE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Ernest Clevenger
Title
President
Phone
(615) 221-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

3879 Rhodes Ave
New Boston, OH 45662-6002

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (615) 221-5901

Other names 2

  • CAREHERE LLC Doing business as
  • CareHere Clinic- Scioto Advantage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carehere LLC40 organizations share this tax ID, including this one
Part of
Carehere LLC

Other organizations with this tax ID 39

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

View all 39

Locations

3879 Rhodes Ave
New Boston, OH 45662
Phone (740) 354-0290

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1639714439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "615-221-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 RHODES AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456626002",
            "telephone_number": "615-221-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHERE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREHERE LLC",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-221-5901"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREHERE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareHere Clinic- Scioto Advantage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Boston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.