Organization Active NPI

Hope of Jabez

  • Medical Specialty Clinic/Center
  • Grove City, OH
National Provider Identifier
1902354095
Registry record updated Feb 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
34008410 Issued in OH
Legal business name
HOPE OF JABEZ
Practice address
4068 Gantz Rd
Grove City, OH 43123-4816
Phone
(614) 957-5268
Fax
(614) 957-5303
NPI assigned
Sep 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2017

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

Authorized official

Name
Dr. Kim R Routh, D.O.
Title
Owner
Phone
(614) 957-5268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 34008410 OH Primary

Addresses

Primary practice location

4068 Gantz Rd
Grove City, OH 43123-4816

Mailing address

4068 Gantz Rd
Grove City, OH 43123-4816
Phone (614) 957-5268

Other identifiers 1

IdentifierTypeStateIssuer
4153721MedicaidOH

National Provider Directory

National Provider Directory

Locations

4068 Gantz Rd
Grove City, OH 43123
Phone (614) 321-7196

3995 Broadway
Ste 150
Grove City, OH 43123
Phone (614) 883-8100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488067200000",
    "number": "1902354095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 GANTZ RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234816",
            "telephone_number": "614-957-5268",
            "fax_number": "614-957-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 GANTZ RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234816",
            "telephone_number": "614-957-5268",
            "fax_number": "614-957-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE OF JABEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-17",
        "last_updated": "2017-02-26",
        "status": "A",
        "authorized_official_last_name": "ROUTH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-957-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "34008410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; 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.