NPIMap

Organization Active NPI

Memorial Hospital

  • Home Health Agency
  • Clyde, OH
National Provider Identifier
1720026743
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEMORIAL HOSPITAL
Practice address
430 S Main St
Clyde, OH 43410-2142
Phone
(419) 334-6626
Fax
(419) 547-9459
NPI assigned
Jun 3, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Mr. Robert W Littelmann
Title
Executive Director
Phone
(419) 334-6661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

430 S Main St
Clyde, OH 43410-2142

Mailing address

715 South Taft Avenue
Fremont, OH 43420-3200
Phone (419) 332-7321

Other identifiers 1

IdentifierTypeStateIssuer
0614008MedicaidOH

Other names 1

  • Memorial Home Health Care Former legal business name

National Provider Directory

National Provider Directory
Part of
Memorial Hospital

Locations

2390 Enterprise St
Fremont, OH 43420
Phone (419) 461-1057

710 Cleveland Ave
Fremont, OH 43420
Phone (419) 334-6619

116 S Main St
Gibsonburg, OH 43431
Phone (419) 637-2161

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1720026743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SOUTH TAFT AVENUE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203200",
            "telephone_number": "419-332-7321",
            "fax_number": "419-332-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434102142",
            "telephone_number": "419-334-6626",
            "fax_number": "419-547-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "LITTELMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-334-6661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0614008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Home Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clyde, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.