Active NPI
Heart Hospital of Dto, LLC
- General Acute Care Hospital
- Dayton, OH
National Provider Identifier
1912987256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1431
- Legal business name
- HEART HOSPITAL OF DTO, LLC
- Practice address
- 707 S. Edwin C. Moses Blvd
Dayton, OH 45408 - Phone
- (937) 221-8000
- Fax
- (937) 221-8801
- NPI assigned
- Jan 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathi Elizabeth Clements
- Title
- Business Office Team Leader
- Phone
- (937) 221-8070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1431 | OH | Primary |
Addresses
Primary practice location
707 S. Edwin C. Moses Blvd
Dayton, OH 45408
Mailing address
707 South Edwin C. Moses Blvd
Dayton, OH 45408-1462
Phone (937) 221-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166016 | Medicaid | OH |
Other names 1
- Dayton Heart Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 360253
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- DAYTON HEART HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, May 18, 2008
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Sep 16, 1999
- Last certification
- Jul 29, 2005
- Beds
- 47
- Ownership / control type
- Private (for profit)
- Facility address
- 707 Edwin C Moses Blvd
Dayton, OH 45408
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912987256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 SOUTH EDWIN C. MOSES BLVD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454081462",
"telephone_number": "937-221-8000",
"fax_number": "937-221-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S. EDWIN C. MOSES BLVD",
"city": "DAYTON",
"state": "OH",
"postal_code": "45408",
"telephone_number": "937-221-8000",
"fax_number": "937-221-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART HOSPITAL OF DTO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLEMENTS",
"authorized_official_first_name": "CATHI",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "BUSINESS OFFICE TEAM LEADER",
"authorized_official_telephone_number": "937-221-8070",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "OH",
"license": "1431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2166016",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dayton Heart Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.