EAST HOLMES FAMILY CARE INC
NPI 1164411765
Family Medicine in Berlin, OH

Active since October 17, 2005CLIA 36D0901052 · Waiver
4907A DALBEY LN, BERLIN, OH 44610(330) 893-3771(330) 893-3770 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Holmes Family Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST HOLMES FAMILY CARE INC (NPI 1164411765) is a healthcare organization registered as a family medicine in Berlin, Ohio and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Robert Kim Kornhaus, Physician, as its authorized official.

NPPES Registry Identity

NPI1164411765
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST HOLMES FAMILY CARE INC
Location Address4907A DALBEY LNBerlin, OH 44610
Mailing AddressPo Box 366Berlin, OH 44610 · (330) 893-3771 · Fax (330) 893-3770
Fax(330) 893-3770
Organization SubpartNo
Authorized OfficialRobert Kim KornhausPhysician · (330) 893-3771
Enumeration DateOctober 17, 2005
Last NPPES UpdateJuly 1, 2014
NPI 1164411765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4907A DALBEY LN, Berlin, OH 44610

Other Identifiers 2

Medicaid0851369OH
Medicare PIN9935181OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0901052

East Holmes Family Care, Inc · Berlin, OH
Active · expires Mar 31, 2027
CLIA Number36D0901052
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorZachary T. Boyd
Laboratory Phone(330) 893-2341
Laboratory LocationEast Holmes Family Care, Inc4907A Dalbey Ln, Berlin, OH 44610
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4907A DALBEY LN
BERLIN, OH 44610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Holmes Family Care Inc's NPI number?

The NPI number for East Holmes Family Care Inc is 1164411765. It was assigned to this organization in the NPPES registry on October 17, 2005.

Where is East Holmes Family Care Inc located?

East Holmes Family Care Inc is located at 4907A Dalbey Ln, Berlin, OH 44610. The listed phone number is (330) 893-3771.

What is East Holmes Family Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does East Holmes Family Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0901052) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Holmes Family Care Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list East Holmes Family Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Holmes Family Care Inc was last updated on July 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.