Organization Active NPI

Specialty Home Health Care, Inc

  • Home Health Agency
  • Evansville, IN
National Provider Identifier
1154324838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002416 Issued in IN
Legal business name
SPECIALTY HOME HEALTH CARE, INC
Practice address
331 Kimber LN
Evansville, IN 47715-2830
Phone
(812) 476-5404
Fax
(812) 476-5766
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sarah Beth Claycomb, RN, BSN
Title
Administrator/Owner
Phone
(812) 476-5404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002416 IN Primary

Addresses

Primary practice location

331 Kimber LN
Evansville, IN 47715-2830

Mailing address

331 Kimber LN
Evansville, IN 47715-2830
Phone (812) 476-5404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

331 Kimber Ln
Evansville, IN 47715
Phone (812) 476-5404

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2023 Change of OwnershipThis provider was the seller Vanguard Group, Inc.CCN 157529, IN, NPI 1629787320

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154324838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 KIMBER LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152830",
            "telephone_number": "812-476-5404",
            "fax_number": "812-476-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 KIMBER LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152830",
            "telephone_number": "812-476-5404",
            "fax_number": "812-476-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAYCOMB",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "812-476-5404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "002416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.