Organization Active NPI

Heart Hospital of Dto, LLC

  • General Acute Care Hospital
  • Dayton, OH
National Provider Identifier
1912987256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1431 Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2166016MedicaidOH

Other names 1

  • Dayton Heart Hospital Doing business as

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 Directory

NPI 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

Verify at the official NPI Registry.