NPIMap

Organization Active NPI

Home Care Network, Inc.

  • Home Health Agency
  • Jackson, OH
National Provider Identifier
1033107917
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE NETWORK, INC.
Practice address
731 E Main St Ste 17B
Jackson, OH 45640-2100
Phone
(800) 600-3974
NPI assigned
Oct 13, 2005
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Kim King
Title
Coo
Phone
(937) 409-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

731 E Main St Ste 17B
Jackson, OH 45640-2100

Mailing address

10552 Success LN Ste M
Dayton, OH 45458-3653
Phone (800) 600-3974

Other identifiers 1

IdentifierTypeStateIssuer
2103940MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523000315 OH Part A Provider - Home Health Agency 9638089030 Practice locations: Jackson, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033107917. Details of each certification follow.

Home health agency certification: CCN 367334

Legal name
HOME CARE NETWORK, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2000
Last certification
Jul 26, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 25, 1994 in OH
Enrollment address
731 E Main St
Ste 17B
Jackson, OH 45640-2100

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care Network, Inc.CCN 367334 · All quality measures
Ownership
Proprietary
Certified
Jan 12, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Home Care Network Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

3976 Fulton Dr NW
#B
Canton, OH 44718

731 E Main St
Ste 17B
Jackson, OH 45640
Phone (740) 688-4040

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Sonya Wolfe Individual W-2 Managing EmployeeDelegate Office Aug 1, 2011
Rosalind Manring Individual W-2 Managing EmployeeAdministrator May 1, 2022
Kimberly King Individual 5% Or Greater Indirect Ownership Interest Apr 29, 2023 100%
Corporate Director Aug 1, 2011
HCN, LLC Organization, Dayton, OH Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 29, 2023 100%
KC Holdings Ohio, Inc Organization, Dayton, OH Created for acquisition, Corporation 5% Or Greater Indirect Ownership Interest Apr 29, 2023 100%
Madison Miller Individual W-2 Managing EmployeeAdministrator - Backup Aug 1, 2024

Facilities with the same owner 10

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1033107917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 SUCCESS LN STE M",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583653",
            "telephone_number": "800-600-3974",
            "fax_number": "937-813-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E MAIN ST STE 17B",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402100",
            "telephone_number": "800-600-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-409-7071"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.