UNITED CHURCH HOMES, INC. (NPI# 1275794059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275794059 |
| Entity Type | Organization |
| Organization Name | UNITED CHURCH HOMES, INC. |
| Other Organization Name | PATRIOT RIDGE - LABORATORY |
| Practice Address |
789 Stoneybrook Trl Fairborn OH 45324-6021 |
| Practice Telephone | 8778210226 |
| Mailing Telephone | 8778210226 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MR. JOHN STONER (VICE PRESIDENT - FINANCIAL SERVICES) |
| Authorized Official Telephone | 7403824885 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED CHURCH HOMES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 36D0656372 | OH | Laboratories |
| Other Name | Type Code |
|---|---|
| Patriot Ridge - Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821073420 | United Church Homes, Inc. | Skilled Nursing Facility | 850 Marseilles Ave, Upper Sandusky, OH 43351-1648 | 2005-12-07 |
| 1588647119 | United Church Homes, Inc. | Skilled Nursing Facility | 3525 E Hanna Ave, Indianapolis, IN 46237-1230 | 2005-11-29 |
| 1528041647 | United Church Homes, Inc. | Skilled Nursing Facility | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2005-11-22 |
| 1760465884 | United Church Homes, Inc. | Skilled Nursing Facility | 3218 Indian Ripple Rd, Beavercreek, OH 45440-3637 | 2005-11-22 |
| 1255873477 | United Church Homes, Inc. | Skilled Nursing Facility | 2000 Leonard St Ne, Grand Rapids, MI 49505-5837 | 2016-11-07 |
| 1073994893 | United Church Homes, Inc. | Skilled Nursing Facility | 401 Harmar St, Marietta, OH 45750-2732 | 2015-06-17 |
| 1093976870 | United Church Homes, Inc. | Clinical Medical Laboratory | 850 Marseilles Ave, Upper Sandusky, OH 43351-1648 | 2008-06-24 |
| 1457512238 | United Church Homes, Inc. | Clinical Medical Laboratory | 3218 Indian Ripple Rd, Dayton, OH 45440-3637 | 2008-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | UNITED CHURCH HOMES, INC. | 170 E Center St, Marion, OH 43302 |
| Street Address |
789 STONEYBROOK TRL |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528041647 | United Church Homes, Inc. | Skilled Nursing Facility | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2005-11-22 |
| 1376159822 | Hunter Allen Andrews | Physical Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2020-09-21 |
| 1275169336 | Kristin Brown | Physical Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2020-03-19 |
| 1841830577 | Kaley Bell | Speech-Language Pathologist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2020-01-10 |
| 1477030807 | Elizabeth Mary Hunter | Speech-Language Pathologist | 789 Stoneybrook Trl, Fairborn, OH 45324-6099 | 2018-07-27 |
| 1811484710 | Bradford A Thomas | Physical Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6099 | 2018-04-16 |
| 1578092060 | Mallory Sharp | Speech-Language Pathologist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2017-06-08 |
| 1285162024 | Mariah Reitz | Occupational Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2017-05-24 |
| 1790229250 | Kelly Owens | Speech-Language Pathologist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2016-12-16 |
| 1730553470 | Gina Ley | Occupational Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2015-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1942832084 | M1 Labs, LLC | Clinical Medical Laboratory | 1330 State Route 14, Columbiana, OH 44408 | 2020-02-06 |
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| 1780240788 | Access Hospital Dayton Lab LLC | Clinical Medical Laboratory | 2611 Wayne Ave Bldg 63, Dayton, OH 45420-1833 | 2019-05-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.