NPIMap

Organization Active NPI

Community Mercy Health Partners

  • In Home Supportive Care Agency
  • Springfield, OH
National Provider Identifier
1992940688
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY MERCY HEALTH PARTNERS
Practice address
100 W McCreight Ave
Springfield, OH 45504-1815
Phone
(937) 399-9910
NPI assigned
Dec 9, 2008
Organization subpart
Yes
Parent organization
COMMUNITY MERCY HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Mark Wiener
Title
President & Ceo
Phone
(937) 328-9761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

100 W McCreight Ave
Springfield, OH 45504-1815

Mailing address

100 W McCreight Ave
Springfield, OH 45504-1815

Other identifiers 1

IdentifierTypeStateIssuer
0791791MedicaidOH

Other names 1

  • Petticrew Center for Adult Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy ER Physicians23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1992940688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041815",
            "telephone_number": "937-399-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MERCY HEALTH PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MERCY HEALTH SYSTEM",
        "enumeration_date": "2008-12-09",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-328-9761"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petticrew Center for Adult Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.