NPIMap

Organization Active NPI

Partners in Home Care, LLC

Doing business as PHC Homecare

  • Home Health Agency
  • Maumee, OH
National Provider Identifier
1114425642
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PARTNERS IN HOME CARE, LLC
Doing business as
PHC Homecare
Practice address
1446 Reynolds Rd Ste 100
Maumee, OH 43537-1634
Phone
(419) 389-1020
Fax
(419) 389-1300
NPI assigned
Jan 30, 2018
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Mr. Brian Allen Mahas
Title
Owner
Phone
(419) 389-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1446 Reynolds Rd Ste 100
Maumee, OH 43537-1634

Mailing address

1446 Reynolds Rd Ste 100
Maumee, OH 43537-1634
Phone (419) 389-1020

Other identifiers 1

IdentifierTypeStateIssuer
0272948MedicaidOH

Other names 1

  • PHC Homecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206000445 OH Part A Provider - Home Health Agency 2264708544 Practice locations: Maumee, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114425642. Details of each certification follow.

Home health agency certification: CCN 368171

Legal name
PARTNERS IN HOME CARE ,LLC
Doing business as
PHC HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 8, 2006
Last certification
Dec 8, 2006
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 15, 2017 in OH
Enrollment address
1446 Reynolds Rd
Ste 100
Maumee, OH 43537-1634

Care Compare: Home health agency

Medicare Care Compare
Listed as
PHC HomecareCCN 368171 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 8, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1446 Reynolds Rd
Ste 100
Maumee, OH 43537
Phone (419) 322-4940

2345 Detroit Ave
Maumee, OH 43537
Phone (419) 893-3200

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Valorie a Mahas Individual 5% Or Greater Direct Ownership Interest Aug 15, 2017 50%
Brian a Mahas Individual 5% Or Greater Direct Ownership Interest Aug 15, 2017 50%
W-2 Managing Employee Jun 30, 2020

Change-of-ownership history 1

DateEventCounterparty
Aug 15, 2017 Change of OwnershipThis provider was the buyer Professional Health Care LLCCCN 368171, OH, NPI 1134501752

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1114425642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 REYNOLDS RD STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371634",
            "telephone_number": "419-389-1020",
            "fax_number": "419-389-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 REYNOLDS RD STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371634",
            "telephone_number": "419-389-1020",
            "fax_number": "419-389-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MAHAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-389-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHC Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHC Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.