NPIMap

Organization Active NPI

Fisher Titus Medical Center

Doing business as The Carriage House

  • Assisted Living Facility
  • Norwalk, OH
National Provider Identifier
1790558740
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FISHER TITUS MEDICAL CENTER
Doing business as
The Carriage House
Practice address
175 Shady Lane Dr
Norwalk, OH 44857-2387
Phone
(419) 668-4228
Fax
(419) 660-2635
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Brent Burkey
Title
Ceo
Phone
(419) 668-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

175 Shady Lane Dr
Norwalk, OH 44857-2387

Mailing address

175 Shady Lane Dr
Norwalk, OH 44857-2387
Phone (419) 668-4228

Other names 1

  • The Carriage House Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2094412Carriage House175 Shady Lane Drive, Norwalk, OH 44857Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fisher Titus Medical Ce6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1790558740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SHADY LANE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572387",
            "telephone_number": "419-668-4228",
            "fax_number": "419-660-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SHADY LANE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572387",
            "telephone_number": "419-668-4228",
            "fax_number": "419-660-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER TITUS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BURKEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-668-8101"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Carriage House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.