1134278518 NPI number — THE CHILDREN'S HOME OF CINCINNATI, OHIO

Table of content: (NPI 1134278518)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134278518 NPI number — THE CHILDREN'S HOME OF CINCINNATI, OHIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CHILDREN'S HOME OF CINCINNATI, OHIO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134278518
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5050 MADISON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45227-1491
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-272-2800
Provider Business Mailing Address Fax Number:
513-272-2807

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5050 MADISON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45227-1491
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-272-2800
Provider Business Practice Location Address Fax Number:
513-272-2807
Provider Enumeration Date:
01/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KATZ JOHNSON
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT AND CEO
Authorized Official Telephone Number:
513-272-2800

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2847003 . This is a "OHIO MANAGED HEALTH CARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0021179 . This is a "OHIO DEPARTMENT OF JOB AND FAMILY SERVICES" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2847003 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000000925 . This is a "ANTHEM PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 10138 . This is a "STATE UPI" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com