CHILDREN'S HOSPITAL MEDICAL CENTER (NPI# 1629116645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629116645 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL MEDICAL CENTER |
| Other Organization Name | CHILDREN'S HOSPITAL MEDICAL CENTER - HOME HEALTH IV THERAPY PHARMACY |
| Practice Address |
660 Lincoln Ave Cincinnati OH 45206-1100 |
| Mailing Address |
3337 Solutions Center Box 773337 Chicago IL 60677-3003 |
| Practice Telephone | 5136364225 |
| Practice Fax Number | 5136362511 |
| Mailing Telephone | 5136364225 |
| Mailing Fax Number | 5136362511 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | MRS. JODIANNE BROOMALL (SR DIRECTOR BILLING & CODING SERV) |
| Authorized Official Telephone | 5136365047 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HOSPITAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
02-1346100 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 315488200 | 05 | |
| NCPDP | 3671193 | 01 | |
| DEA NUMBER | BC8096605 | 01 | |
| WV | 0173998002 | 05 | |
| WV | 0173998003 | 05 | |
| OH | 2800044 | 05 | |
| KY | LICENSE | 720040 | 01 |
| OH | PHARMACY LICENSE | 02-1346100 | 01 |
| KY | 7100001090 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Hospital Medical Center - Home Health IV Therapy Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025039 | Children's Hospital Medical Center | Pharmacy | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2015-06-17 |
| 1902168800 | Children's Hospital Medical Center | Community/Behavioral Health | 5642 Hamilton Ave, Cincinnati, OH 45224-3114 | 2012-06-15 |
| 1528255577 | Children's Hospital Medical Center | Clinic/Center | 3333 Burnet Ave, Cincinnati, OH 45229-3039 | 2007-10-03 |
| 1306988852 | Children's Hospital Medical Center | Dentist | 3333 Burnet Avenue, Ml 2006, Cincinnati, OH 45229-3039 | 2007-02-13 |
| 1609915784 | Children's Hospital Medical Center | Clinical Neuropsychologist | 3333 Burnet Avenue, Cincinnati, OH 45229-3039 | 2007-02-06 |
| 1366580391 | Children's Hospital Medical Center | Durable Medical Equipment & Medical Supplies | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1508904400 | Children's Hospital Medical Center | Home Health | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1154469930 | Children's Hospital Medical Center | Hospice Care, Community Based | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1346388378 | Children's Hospital Medical Center | Pharmacy | 3333 Burnet Avenue, Cincinnati, OH 45229-3039 | 2007-02-02 |
| 1548212988 | Children's Hospital Medical Center | Clinic/Center | 3333 Burnet Ave, Cincinnati, OH 45229 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CHILDREN'S HOSPITAL MEDICAL CENTER | Unknown, Boston, MA 02105 |
| Street Address |
660 LINCOLN AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45206-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374714 | Amanda Fridley | Pharmacist | 660 Lincoln Ave, Cincinnati, OH 45206-1138 | 2020-04-16 |
| 1366580391 | Children's Hospital Medical Center | Durable Medical Equipment & Medical Supplies | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1508904400 | Children's Hospital Medical Center | Home Health | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1154469930 | Children's Hospital Medical Center | Hospice Care, Community Based | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730686478 | Teresa Marie Truesdell | Counselor | 3605 Woodburn Ave, Cincinnati, OH 45206 | 2018-04-10 |
| 1881137172 | Chase Mauger | Counselor | 2700 Victory Parkway, Cincinnati, OH 45206 | 2016-11-18 |
| 1316492390 | The Young Men's Christian Association of Greater Cincinnati | Health Educator | 2840 Melrose Avenue, Cincinnati, OH 45206 | 2016-08-19 |
| 1326591231 | Valante Jackson | Counselor | 2638 Victory Pkwy, Cincinnati, OH 45206 | 2016-07-27 |
| 1245637099 | Charles Workman | Social Worker | 2600 Victory Parkway, Cincinnati, OH 45206 | 2014-11-21 |
| 1154727642 | Lauren Schrand | Social Worker | 2651 Observatory Ave., Cincinnati, OH 45206 | 2014-11-10 |
| 1619387487 | Jeanne Romell | Occupational Therapy Assistant | 1520 Madison Road, Cincinnati, OH 45206 | 2014-05-02 |
| 1821347923 | Geoffrey L Raine | Counselor | 1501 Madison Road, Cincinnati, OH 45206 | 2012-09-05 |
| 1215207766 | Consultants of Mind Matters, Inc | Counselor | 2200 Victory Parkway, Suite 602, Cincinnati, OH 45206 | 2011-12-30 |
| 1851671093 | Patricia Lynn Zureick | Counselor | 2330 Victory Parkway Ave, Mercy Professional Services Suite 500, Cincinnati, OH 45206 | 2011-08-19 |
| Find all providers in zip 45206 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114058013 | Oncology Hematology Care, Inc | Pharmacy | 4350 Malsbary Rd, Suite 205, Cincinnati, OH 45242-5665 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581246 | Clinical Specialties Inc | Pharmacy | 6361 Nicholas Dr, Columbus, OH 43235-5204 | 2011-04-20 |
| 1013226612 | Gold Medical | Pharmacy | 1799 W 5th Ave, Suite 252, Columbus, OH 43212-2322 | 2010-09-29 |
| 1164741377 | Legacy Infusion Services, LLC | Pharmacy | 9969 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2010-05-27 |
| 1871652289 | In Home Health, LLC | Pharmacy | 333 N. Summit St, 16th Floor; Licensure & Certification, Toledo, OH 43604-2615 | 2006-12-08 |
| 1841389533 | Curascript Infusion Pharmacy, Inc. | Pharmacy | 29313 Clemens Rd, Ste 2 L, Westlake, OH 44145-1052 | 2006-10-12 |
| 1306938345 | Mercy Health Youngstown, LLC | Pharmacy | 979 Tibbetts Wick Rd, Suite A, Girard, OH 44420-1182 | 2006-09-28 |
| 1699878165 | Homereach | Pharmacy | 404 East Wilson Bridge Road, Suite H, Worthington, OH 43085-2369 | 2006-09-07 |
| 1134137946 | Csi Managed Care Inc. | Pharmacy | 6955 Treeline Dr, Brecksville, OH 44141-3393 | 2006-08-04 |
| 1619943115 | Braden Med Services Inc | Pharmacy | 44519 Marietta Rd, Caldwell, OH 43724-9209 | 2006-02-24 |
| 1508850926 | Amerimed, Inc. | Pharmacy | 9961 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2005-08-31 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45206 |
Please comment or provide details below to improve the information on CHILDREN'S HOSPITAL MEDICAL CENTER.
| 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.