NPIMap

Organization Active NPI

Senior Independence

  • Community Based Hospice Care Agency
  • Sidney, OH
National Provider Identifier
1689062564
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0157HSP Issued in OH
Legal business name
SENIOR INDEPENDENCE
Practice address
3003 Cisco Rd
Sidney, OH 45365-9343
Phone
(937) 415-5666
Fax
(937) 425-5690
NPI assigned
Dec 31, 2014
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO PRESBYTERIAN RETIREMENT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Mr. Laurence C Gumina
Title
Ceo
Phone
(614) 888-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0157HSP OH Primary

Addresses

Primary practice location

3003 Cisco Rd
Sidney, OH 45365-9343

Mailing address

6520 Poe Ave
Suite 100
Dayton, OH 45414-2527
Phone (937) 415-5666

Other practice location 1

3003 Cisco Rd
Sidney, OH 45365-9343

Other practice location 2

3003 West Cisco Road
Sidney, OH 45365

Other practice location 3

3003 Cisco Rd
Sidney, OH 45365-9343
Phone (937) 415-5666

Other practice location 4

3003 Cisco Rd
Sidney, OH 45365-9343

Other practice location 5

3003 West Cisco Road
Sidney, OH 45365

Other practice location 6

3003 Cisco Rd
Sidney, OH 45365-9343
Phone (937) 415-5666

Other practice location 7

3003 Cisco Rd
Sidney, OH 45365-9343
Phone (937) 415-5666

National Provider Directory

National Provider Directory
Tax ID family
Senior Independence14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1689062564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 POE AVE",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142527",
            "telephone_number": "937-415-5666",
            "fax_number": "937-415-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 CISCO RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659343",
            "telephone_number": "937-415-5666",
            "fax_number": "937-425-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Cisco Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453659343",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 West Cisco Road",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "45365",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Cisco Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453659343",
            "country_code": "US",
            "telephone_number": "937-415-5666",
            "fax_number": "937-425-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Cisco Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453659343",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 West Cisco Road",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "45365",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Cisco Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453659343",
            "country_code": "US",
            "telephone_number": "937-415-5666",
            "fax_number": "937-425-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Cisco Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453659343",
            "country_code": "US",
            "telephone_number": "937-415-5666",
            "fax_number": "937-425-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR INDEPENDENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO PRESBYTERIAN RETIREMENT SERVICES",
        "enumeration_date": "2014-12-31",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "GUMINA",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-888-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0157HSP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.