Active NPI
Preble Home Health Services LLC
- Home Health Agency
- Eaton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PREBLE HOME HEALTH SERVICES LLC
- Practice address
- 200 Eaton Lewisburg Rd Ste 101
Eaton, OH 45320-1191 - Phone
- (937) 336-5320
- Fax
- (937) 336-5266
- NPI assigned
- Mar 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nichole M Norvell, CNP
- Title
- Don
- Phone
- (937) 366-5320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
200 Eaton Lewisburg Rd Ste 101
Eaton, OH 45320-1191
Mailing address
1673 N Barron St
Eaton, OH 45320-1021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110722000130 | OH | Part A Provider - Home Health Agency | 7810165636 | Practice locations: Eaton, OH |
Home health agency certification: CCN 368423
- Legal name
- PREBLE HOME HEALTH SERVICES LLC
- Doing business as
- PREBLE HOME HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 10, 2012
- Last certification
- May 10, 2012
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Mar 24, 2011 in OH
- Enrollment address
- 200 Eaton Lewisburg Rd
Ste 101
Eaton, OH 45320-1191
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Preble Home Health Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 10, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2022439 | Preble Home Health Services | Certificate of waiver | Apr 3, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
200 Eaton Lewisburg Rd
Ste 101
Eaton, OH 45320
Phone (937) 336-5320
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sarah Potts | Corporate Officer | May 15, 2021 | |
| Corporate Director | May 15, 2021 | ||
| Operational/Managerial Control | May 15, 2021 | ||
| Horizon Home Healthcare, LLC. | 5% Or Greater Direct Ownership Interest | May 15, 2021 | 100% |
| Nichole Marie Norvell | 5% Or Greater Indirect Ownership Interest | May 15, 2021 | |
| Corporate Officer | May 15, 2021 | ||
| Corporate Director | May 15, 2021 | ||
| W-2 Managing Employee | May 15, 2021 | ||
| Operational/Managerial Control | May 15, 2021 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Home Health Agency
- Vandalia, OH
- NPI 1629187414
5% Or Greater Direct Ownership Interest
-
- Family Nurse Practitioner
- Troy, OH
- NPI 1487838694
5% Or Greater Indirect Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Troy, OH
- NPI 1487838694
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Eaton, OH
- NPI 1659312205
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1003115213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1673 N BARRON ST",
"city": "EATON",
"state": "OH",
"postal_code": "453201021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EATON LEWISBURG RD STE 101",
"city": "EATON",
"state": "OH",
"postal_code": "453201191",
"telephone_number": "937-336-5320",
"fax_number": "937-336-5266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREBLE HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-28",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "NORVELL",
"authorized_official_first_name": "NICHOLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DON",
"authorized_official_telephone_number": "937-366-5320",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eaton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.