Organization Active NPI

Preble Home Health Services LLC

  • Home Health Agency
  • Eaton, OH
National Provider Identifier
1003115213
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nichole M Norvell, CNPNPI 1487838694
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 ServicesCCN 368423
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 10, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2022439Preble Home Health Services200 Eaton Lewisburg Road, Eaton, OH 45320Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Member 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.

NameRoleSinceShare
Sarah Potts Individual Corporate OfficerCoo - Board Member May 15, 2021
Corporate DirectorCoo - Board Member May 15, 2021
Operational/Managerial ControlCoo - Board Member May 15, 2021
Horizon Home Healthcare, LLC. Organization, Vandalia, OH LLC 5% Or Greater Direct Ownership Interest May 15, 2021 100%
Nichole Marie Norvell Individual 5% Or Greater Indirect Ownership InterestCeo/Board Member/Administrator/Don May 15, 2021
Corporate OfficerCeo/Board Member/Administrator/Don May 15, 2021
Corporate DirectorCeo/Board Member/Administrator/Don May 15, 2021
W-2 Managing EmployeeCeo/Board Member/Administrator/Don May 15, 2021
Operational/Managerial ControlCeo/Board Member/Administrator/Don 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.