Great Lakes Home Health Ohio 4, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES HOME HEALTH OHIO 4, LLC

Practice address

4340 Glendale Milford Rd Ste 160
Blue Ash, OH 45242-3750

Phone

(513) 454-7025

Fax

(903) 537-8420

NPI assigned

Jul 21, 2025

Organization subpart

No

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

Authorized official

Name

Angel Stansbury

Title

Dir License & Regulatory Compliance

Phone

(337) 344-2141

Specialties & licenses 1

Addresses

Other names 1

• Elara Caring Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1013899137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LYNDON B JOHNSON FWY STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342712",
            "telephone_number": "517-768-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 GLENDALE MILFORD RD STE 160",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423750",
            "telephone_number": "513-454-7025",
            "fax_number": "903-537-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HOME HEALTH OHIO 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "STANSBURY",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "DIR LICENSE & REGULATORY COMPLIANCE",
        "authorized_official_telephone_number": "337-344-2141"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elara Caring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Joseph Goulet III, M.D.
• Amanda Delgado Graves
• Dana Grawe, LPCC-S
• Elizabeth Gray
• Kathryn Gray
• Greater Home Care, LLC
• Greater Outcomes Care House
• Annette Green
• Jessica Walt Green, PHARMD
• Laura Emily Green, OTR/L

• Home Health Agency in Blue Ash, OH
• Providers in Blue Ash, 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 Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.