United Church Homes, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3840 Issued in OH

Legal business name

UNITED CHURCH HOMES, INC.

Doing business as

Fairhaven Community

Practice address

850 Marseilles Ave
Upper Sandusky, OH 43351-1648

Phone

(419) 294-4973

NPI assigned

Dec 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rob Weisbrodt

Title

VP It Services

Phone

(740) 382-4885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairhaven Community Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• United Church Homes, Inc

  dba The Community at Parkvue

  • Skilled Nursing Facility
  • Sandusky, OH
  • NPI 1508849605

  Member Of

  NPD member

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821073420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MARSEILLES AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511648",
            "telephone_number": "419-294-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MARSEILLES AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511648",
            "telephone_number": "419-294-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISBRODT",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "VP IT SERVICES",
        "authorized_official_telephone_number": "740-382-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairhaven Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caiden Twining, CT
• United Church Homes Inc (Fairhaven North - Laboratory)
• United Church Homes Inc (Fairhaven Community)
• United Church Homes, Inc (Fairhaven North Campus)
• United Church Homes, Inc. (Fairhaven - Laboratory)
• Upper Sandusky Exempted Village School District
• Upper Sandusky Medical Assoc Inc
• Usc&LC LLC (Upper Sandusky Counseling & Life Coaching)
• Jose Vale, MD
• Vancrest of Upper Sandusky LLC (Vancrest of Upper Sandusky)

• Skilled Nursing Facility in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.