NPIMap

Organization Active NPI

Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
National Provider Identifier
1770053647
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH PARTNERS OF WESTERN OHIO
Practice address
405 Woodville Rd
Toledo, OH 43605-2381
Phone
(567) 318-3900
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Janis Sunderhaus
Title
Ceo
Phone
(419) 221-3072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

405 Woodville Rd
Toledo, OH 43605-2381

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

Other names 1

  • Riverside Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150313002043 OH Part B Supplier - Clinic/Group Practice 9436139987 Receives reassigned benefits from 153 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toledo, OH; Tiffin, OH; New Carlisle, OH; Lima, OH; Bryan, OH; Defiance, OH; Harrod, OH; Holland, OH…
O20190301001018 OH Part A Provider - Federally Qualified Health Center (FQHC) 9436139987 1 other NPI on this enrollment
Practice locations: Toledo, OH
O20190529000915 OH Part A Provider - Federally Qualified Health Center (FQHC) 9436139987 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toledo, OH

Federally qualified health center certification: CCN 721811

Legal name
HEALTH PARTNERS OF WESTERN OHIO
Doing business as
RIVERSIDE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 17, 2019
Last certification
May 17, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 2002 in OH
Enrollment address
405 Woodville Rd
Toledo, OH 43605-2381

Federally qualified health center certification: CCN 721815

Legal name
HEALTH PARTNERS OF WESTERN OHIO
Doing business as
OLD WEST END COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2019
Last certification
May 1, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 2002 in OH
Enrollment address
2244 Collingwood Blvd
Toledo, OH 43620-1147

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janis Sunderhaus Individual Corporate OfficerCeo Jul 1, 2003 6%
W-2 Managing EmployeeCeo Jul 1, 2003
Operational/Managerial ControlCeo Jul 1, 2003
Corporate OfficerCeo Jul 1, 2003
Angel Cowan Individual OtherBoard Member Nov 1, 2020
Corporate DirectorBoard Member Nov 1, 2020
Kimberly Taflinger Individual Corporate OfficerCfo Jan 3, 2025
W-2 Managing EmployeeCfo Jan 3, 2025
Operational/Managerial Control Jan 3, 2025
Joseph a. Dake Individual OtherBoard Member Aug 23, 2018
Corporate DirectorBoard Member Aug 23, 2018
Lorna Simpson Individual OtherBoard Member Jan 28, 2016
Corporate DirectorBoard Member Jan 28, 2016
Arlisa Hall Individual OtherBoard Member Sep 23, 2010
Corporate DirectorBoard Member Sep 23, 2010
Anthony Lester Individual OtherBoard Member Oct 27, 2011
Corporate DirectorBoard Member Oct 27, 2011
John Stanovich Individual OtherBoard Member Mar 1, 2014
Corporate DirectorBoard Member Mar 1, 2014
Daisy Williamson Individual Other Apr 1, 2024
Corporate DirectorBoard Member Apr 1, 2024
Rebecca Dershem Individual OtherTreasurer Oct 25, 2002
Corporate DirectorBoard Treasurer Oct 25, 2002
Mary Williamson Individual OtherVice President Oct 1, 2002
Corporate DirectorBoard Vice President Oct 1, 2002
William Stolly Individual OtherPresident Sep 1, 2010
Corporate DirectorBoard President Sep 1, 2010

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1770053647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WOODVILLE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052381",
            "telephone_number": "567-318-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARTNERS OF WESTERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SUNDERHAUS",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-221-3072"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.