NPIMap

Organization Active NPI

United Church Homes, Inc., Dba the Parkvue Community on Catawba Island

  • Assisted Living Facility
  • Port Clinton, OH
National Provider Identifier
1679345334
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UNITED CHURCH HOMES, INC., DBA THE PARKVUE COMMUNITY ON CATAWBA ISLAND
Practice address
3896 E Vineyard Village Dr
Port Clinton, OH 43452-4131
Phone
(419) 797-4700
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Megan Kelley
Title
Vice President & General Counsel
Phone
(740) 223-2038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3896 E Vineyard Village Dr
Port Clinton, OH 43452-4131

Mailing address

170 E Center St
Marion, OH 43302-3815

Other identifiers 1

IdentifierTypeStateIssuer
2365ROtherOHAL ODH LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
United Church Homes Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1679345334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3896 E VINEYARD VILLAGE DR",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434524131",
            "telephone_number": "419-797-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES, INC., DBA THE PARKVUE COMMUNITY ON CATAWBA ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "VICE PRESIDENT & GENERAL COUNSEL",
        "authorized_official_telephone_number": "740-223-2038"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL ODH LICENSE NUMBER",
            "identifier": "2365R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.