Provider Demographics
NPI:1790521169
Name:UNITED CHURCH HOMES, INC.
Entity type:Organization
Organization Name:UNITED CHURCH HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:RENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-223-2031
Mailing Address - Street 1:PO BOX 1806
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43301-1806
Mailing Address - Country:US
Mailing Address - Phone:740-382-4885
Mailing Address - Fax:
Practice Address - Street 1:170 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-3815
Practice Address - Country:US
Practice Address - Phone:740-382-4885
Practice Address - Fax:740-382-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty