Organization Active NPI

Menders Home Hospice Inc.

  • Community Based Hospice Care Agency
  • Hillsboro, OH
National Provider Identifier
1649856949
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MENDERS HOME HOSPICE INC.
Practice address
1111 Northview Dr Ste C
Hillsboro, OH 45133-8659
Phone
(937) 402-4101
Fax
(937) 402-4107
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Mrs. Alicia Jolene Shaffer, RN
Title
Owner
Phone
(937) 402-4101

Specialties & licenses 1

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

Addresses

Primary practice location

1111 Northview Dr Ste C
Hillsboro, OH 45133-8659

Mailing address

1111 Northview Dr Ste C
Hillsboro, OH 45133-8659
Phone (937) 402-4101

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hillsboro

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1649856949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NORTHVIEW DR STE C",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338659",
            "telephone_number": "937-402-4101",
            "fax_number": "937-402-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NORTHVIEW DR STE C",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338659",
            "telephone_number": "937-402-4101",
            "fax_number": "937-402-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDERS HOME HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "JOLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-402-4101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hillsboro",
            "affiliation": "N",
            "address_1": "1111 Northview Dr Ste C",
            "city": "Hillsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451338659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.