Organization Active NPI

Stay Well Home Health, LLC

  • Home Health Agency
  • Cincinnati, OH
National Provider Identifier
1144545708
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAY WELL HOME HEALTH, LLC
Practice address
4000 Executive Park Dr Ste 225
Cincinnati, OH 45241-4009
Phone
(513) 297-4555
Fax
(513) 297-4588
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Mr. Gregory S Miller
Title
Managing Member
Phone
(513) 605-2701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4000 Executive Park Dr Ste 225
Cincinnati, OH 45241-4009

Mailing address

4000 Executive Park Dr Ste 225
Cincinnati, OH 45241-4009
Phone (513) 297-4555

Other identifiers 1

IdentifierTypeStateIssuer
3137975MedicaidOH

Other names 1

  • Stay Well Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100611000636 OH Part A Provider - Home Health Agency 1355471608 Practice locations: Cincinnati, OH

Home health agency certification: CCN 368339

Legal name
STAY WELL HOME HEALTH, LLC
Certification status
Terminated Involuntary: failure to meet health/safety requirements, May 13, 2026
Provider type (POS)
Home health agency
Participating since
Dec 3, 2010
Last certification
Oct 27, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 10, 2010 in OH
Enrollment address
4000 Executive Park Dr
Ste 225
Cincinnati, OH 45241-4009

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stay Well Home Health, LLCCCN 368339
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 3, 2010
Medicare certification status
Terminated Involuntary: failure to meet health/safety requirements, May 13, 2026From 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

12500 Reed Hartman Hwy
Ste 10
Cincinnati, OH 45241
Phone (513) 297-4555

4000 Executive Park Dr
Ste 225
Cincinnati, OH 45241
Phone (513) 247-3070

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
SMB Home Health LLC Organization, Cincinnati, OH 5% Or Greater Direct Ownership Interest Apr 12, 2010
Kimberly Tilley Individual Corporate DirectorCoo/Administrator Aug 30, 2018
Laura Barbetta Individual W-2 Managing EmployeeRN, Clinical Director Mar 12, 2012
JJG Investments LLC Organization, Cincinnati, OH Corporation 5% Or Greater Direct Ownership Interest Apr 12, 2010 5%
Dixon Homecare LLC Organization, West Chester, OH Corporation 5% Or Greater Direct Ownership Interest Apr 12, 2010 5%
Gregory S Miller Individual 5% Or Greater Direct Ownership Interest Apr 12, 2010 5%

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1144545708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EXECUTIVE PARK DR STE 225",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414009",
            "telephone_number": "513-297-4555",
            "fax_number": "513-297-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EXECUTIVE PARK DR STE 225",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414009",
            "telephone_number": "513-297-4555",
            "fax_number": "513-297-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY WELL HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "513-605-2701",
        "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": "3137975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stay Well Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.