Widows Home of Dayton

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0349051 Issued in OH

Legal business name

WIDOWS HOME OF DAYTON

Doing business as

The Widows Home of Dayton - Laboratory

Practice address

50 S Findlay St
Dayton, OH 45403-2023

Phone

(937) 252-1661

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mike Freeman

Title

Administrator

Phone

(937) 252-1661

Specialties & licenses 1

Addresses

Other names 1

• The Widows Home of Dayton - Laboratory Doing business as

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

CLIA laboratory certificates

Tax ID family

The Widows Home of Dayton - Laboratory2 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.

• Widows Home of Dayton

  • Skilled Nursing Facility
  • Dayton, OH
  • NPI 1659758951
  NPD tax ID

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1649406869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S FINDLAY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454032023",
            "telephone_number": "937-252-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S FINDLAY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454032023",
            "telephone_number": "937-252-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDOWS HOME OF DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-252-1661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0349051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Widows Home of Dayton - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Wicker
• Lisa Wickham
• James Eric Wickline, MPT
• Kristie Wickline, MPT
• Barry Michael Wideman, LISW
• Widows Home of Dayton
• Widows Home of Dayton, Ohio
• Samantha Lynn Wiegand, M.D.
• Catherine Yvonne Wielatz
• Adam Wiercinski, D.O.

• Clinical Medical Laboratory in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.