Elderly United of Springfield & Clark County Ohio, Inc.

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

ELDERLY UNITED OF SPRINGFIELD & CLARK COUNTY OHIO, INC.

Practice address

101 S Fountain Ave
Springfield, OH 45502-1207

Phone

(937) 323-4948

Fax

(937) 324-9005

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Maureen Fagans

Title

Executive Director

Phone

(937) 323-4948

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• United Senior Services Doing business as

Locations

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1730157264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021311",
            "telephone_number": "937-323-4948",
            "fax_number": "937-324-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021207",
            "telephone_number": "937-323-4948",
            "fax_number": "937-324-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY UNITED OF SPRINGFIELD & CLARK COUNTY OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "FAGANS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-323-4948",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "0424",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH AGENCY IDENTIFIER #",
            "identifier": "02AB52",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Senior Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Delivered Meals in Springfield, OH
• Providers in Springfield, OH by specialty
• Home Delivered Meals in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.