NPIMap

Organization Active NPI

United Church Homes Inc

  • Assisted Living Facility
  • Marietta, OH
National Provider Identifier
1760084115
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UNITED CHURCH HOMES INC
Practice address
200 Timberline Dr
Marietta, OH 45750-9238
Phone
(740) 376-0535
Fax
(740) 376-0153
NPI assigned
Nov 11, 2020
Organization subpart
Yes
Parent organization
UNITED CHURCH HOMES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Mr. Richard D Dible
Title
Vice President of Financial Service
Phone
(740) 223-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

200 Timberline Dr
Marietta, OH 45750-9238

Mailing address

PO Box 1806
Marion, OH 43301-1806
Phone (740) 382-4885

Other identifiers 2

IdentifierTypeStateIssuer
2224ROtherOHRESIDENTIAL CARE LICENSE
0144843MedicaidOH

Other names 1

  • Glenwood Community Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldailey@uchinc.org Direct

National Provider Directory

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

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": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1760084115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433011806",
            "telephone_number": "740-382-4885",
            "fax_number": "740-382-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TIMBERLINE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509238",
            "telephone_number": "740-376-0535",
            "fax_number": "740-376-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED CHURCH HOMES INC",
        "enumeration_date": "2020-11-11",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "DIBLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCIAL SERVICE",
        "authorized_official_telephone_number": "740-223-2022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE LICENSE",
            "identifier": "2224R",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144843",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldailey@uchinc.org",
            "affiliation": "N",
            "endpointDescription": "Executive Director's email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Timberline Dr",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457509238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Glenwood Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

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