NPIMap

Organization Active NPI

United Church Homes, Inc.

  • Multi-Specialty Clinic/Center
  • Marion, OH
National Provider Identifier
1811733280
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNITED CHURCH HOMES, INC.
Practice address
170 E Center St
Marion, OH 43302-3815
Phone
(740) 382-4885
Fax
(740) 382-4884
NPI assigned
Jul 5, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
John Kevin Renner
Title
Sevp / Cfo
Phone
(740) 223-2031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

170 E Center St
Marion, OH 43302-3815

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821004083 OH Part B Supplier - Clinic/Group Practice 2062514193 Receives reassigned benefits from 4 practitioners
Practice locations: Marion, OH

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
United Church Homes Inc Dba the Parkvue Community on Catawba Island24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brookhaven Nursing and Care CenterBrookville, OH, CCN 365422 Skilled nursing facility 5% Or Greater Direct Ownership Interest (11.73%) Dec 27, 2006
Four Winds Nursing FacilityJackson, OH, CCN 365669 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
United Church Homes, Inc.Canal Fulton, OH, CCN 365494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
Trinity Community at BeavercreekBeavercreek, OH, CCN 365777 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
Harmar PlaceMarietta, OH, CCN 366001 Skilled nursing facility Operational/Managerial Control (100%) Jul 1, 2015

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

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": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1811733280",
    "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": "170 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023815",
            "telephone_number": "740-382-4885",
            "fax_number": "740-382-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SEVP / CFO",
        "authorized_official_telephone_number": "740-223-2031"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.