Organization Active NPI

Care at Home by Green Hills LLC

  • Home Health Agency
  • West Liberty, OH
National Provider Identifier
1093067464
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2134558 Issued in OH
Legal business name
CARE AT HOME BY GREEN HILLS LLC
Practice address
6557 US Highway 68 S
West Liberty, OH 43357-9536
Phone
(937) 465-5065
Fax
(937) 465-4390
NPI assigned
Oct 10, 2012
Organization subpart
Yes
Parent organization
WEST LIBERTY CARE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Mr. Mike Ray
Title
Ceo
Phone
(937) 465-5065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2134558 OH Primary

Addresses

Primary practice location

6557 US Highway 68 S
West Liberty, OH 43357-9536

Mailing address

6557 US Highway 68 S
West Liberty, OH 43357-9536
Phone (937) 465-5065

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
36D2052159Care at Home by Green Hills LLC6557 US 68 S, West Liberty, OH 43357Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory
Part of
West Liberty Care Center Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1093067464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579536",
            "telephone_number": "937-465-5065",
            "fax_number": "937-465-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579536",
            "telephone_number": "937-465-5065",
            "fax_number": "937-465-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AT HOME BY GREEN HILLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST LIBERTY CARE CENTER INC",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-465-5065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2134558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Liberty, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.