Homecare With Heart Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMECARE WITH HEART SERVICES, LLC

Practice address

821 Kentwood Dr Ste B
Youngstown, OH 44512-5061

Phone

(330) 726-0700

Fax

(330) 726-0704

NPI assigned

Aug 21, 2014

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marietta Willis

Title

Chief Nursing Officer

Phone

(216) 970-1189

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013316496. Details of each certification follow.

• CCN 369144 Home health agency · Active · Details

Home health agency certification: CCN 369144

Legal name

HOMECARE WITH HEART SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 15, 2016

Last certification

Jul 15, 2016

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 8, 2014 in OH

Enrollment address

821 Kentwood Dr
Ste B
Youngstown, OH 44512-5061

Listed as

Homecare With Heart Services LLCCCN 369144 · All quality measures

Ownership

Proprietary

Certified

Jul 15, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Caring Angels Homecare Agency, Inc.

  dba Patriot Home Care

  • Home Health Agency
  • Wilmington, DE
  • NPI 1124598156

  Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC

  CMS ownership
• Home Recovery Home Health LLC

  dba Home Recovery - Homeaid

  • Home Health Agency
  • Farmville, VA
  • NPI 1811933328

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Immediate Home Care LLC

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1124029467

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Immediate Home Care LLC

  dba Immediate Homecare and Hospice

  • Community Based Hospice Care Agency
  • Philadelphia, PA
  • NPI 1912158932

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Jar Inc

  dba Americare In Home Nursing

  • Home Health Agency
  • Alexandria, VA
  • NPI 1598706483

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Jar, Inc.

  dba Americare in Home Nursing

  • Home Health Agency
  • Washington, DC
  • NPI 1245410943

  Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership
• Jar, Inc.

  dba Americare In Home Nursing

  • Home Health Agency
  • Landover, MD
  • NPI 1679515902

  Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica Marlene Campbell

  • Licensed Practical Nurse
  • Youngstown, OH
  • NPI 1033670526
  NPD (past)
• Dominique Palmer, LPN

  • Licensed Practical Nurse
  • Sharon, PA
  • NPI 1154898765
  NPD (past)
• Rachael A Shugars, LPN

  • Licensed Practical Nurse
  • Sharon, PA
  • NPI 1427525039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1013316496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 KENTWOOD DR STE B",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125061",
            "telephone_number": "330-726-0700",
            "fax_number": "330-726-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KENTWOOD DR STE B",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125061",
            "telephone_number": "330-726-0700",
            "fax_number": "330-726-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE WITH HEART SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MARIETTA",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "216-970-1189"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197357",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "YOUNGSTOWN",
            "affiliation": "N",
            "address_1": "821 Kentwood Dr Ste B",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445125061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Holtom, LPN
• Matthew T Holtsclaw, RN
• Homaide Healthcare Agency LLC
• Nathan Michael Homan, PHARM.D.
• Staci Marie Homan, CNP
• Homecare With Heart, LLC
• Honor Thy Love Ones LLC
• Honor Thy Love Ones LLC
• Kristen A Hood, CT
• Priscilla Hood, PA-C

• Home Health Agency in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.

Verify at the official NPI Registry.