1. Home
  2. Directory
  3. Ohio
  4. Newark
  5. Home Health
  6. NPI Profile

LICKING MEMORIAL HOSPITAL HOMECARE
NPI 1720163637
Home Health in Newark, OH

Active since October 26, 2006CLIA 36D0865290 · Waiver
1865 TAMARACK RD STE B, NEWARK, OH 43055(740) 348-1860(740) 348-1861 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Licking Memorial Hospital Homecare NPPES

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

LICKING MEMORIAL HOSPITAL HOMECARE (NPI 1720163637) is a healthcare organization registered as a home health in Newark, Ohio and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Cynthia L Webster, Vp Financial Services, as its authorized official.

NPPES Registry Identity

NPI1720163637
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLICKING MEMORIAL HOSPITAL
Location Address1865 TAMARACK RD STE BNewark, OH 43055-2316
Mailing Address1865 Tamarack Rd Ste BNewark, OH 43055-2316 · (740) 348-1860 · Fax (740) 348-1861
Phone(740) 348-1860
Fax(740) 348-1861
Organization SubpartYes
Authorized OfficialCynthia L WebsterVp Financial Services · (740) 348-4518
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 6, 2015
✔ NPI 1720163637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1865 TAMARACK RD STE B, Newark, OH 43055
Open in Google Maps ↗

Other Names 1

Other NameLicking Memorial Hospital Homecare

Other Identifiers 2

Medicaid0869092OH
Medicare ID-Type Unspecified367475OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Molina Healthcare.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 36D0865290

Licking Memorial Occupational Health · Newark, OH
Active · expires Aug 31, 2026
CLIA Number36D0865290
Laboratory TypeIndustrial
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKristine Plotts
Laboratory Phone(220) 564-4972
Laboratory LocationLicking Memorial Occupational Health1865 Tamarack Road, Newark, OH 43055
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Licking Memorial Hospital's NPI number?

The NPI number for Licking Memorial Hospital is 1720163637. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is also known as Licking Memorial Hospital Homecare.

Where is Licking Memorial Hospital located?

Licking Memorial Hospital is located at 1865 Tamarack Rd Ste B, Newark, OH 43055. The listed phone number is (740) 348-1860.

What is Licking Memorial Hospital's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Licking Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0865290) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Licking Memorial Hospital accept?

Health plans from MedMutual and Molina Healthcare list Licking Memorial Hospital 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 Licking Memorial Hospital was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.