Active NPI
Schrock Home Care LLC
- Home Health Agency
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SCHROCK HOME CARE LLC
- Practice address
- 1103 Schrock Rd Ste 205
Columbus, OH 43229-1179 - Phone
- (888) 860-0333
- Fax
- (888) 645-0333
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Ferguson
- Title
- SVP
- Phone
- (614) 523-0668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1103 Schrock Rd Ste 205
Columbus, OH 43229-1179
Mailing address
1103 Schrock Rd Ste 205
Columbus, OH 43229-1179
Phone (888) 860-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070807000109 | OH | Part A Provider - Home Health Agency | 7113018060 | Practice locations: Columbus, OH |
Home health agency certification: CCN 368216
- Legal name
- SCHROCK HOME CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 14, 2008
- Last certification
- Feb 20, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 3, 2007 in OH
- Enrollment address
- 1103 Schrock Rd
Ste 205
Columbus, OH 43229-1179
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Schrock Home Care LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 14, 2008
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1092685 | Schrock Home Care, LLC | Certificate of waiver | Jan 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
150 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 523-0668
1103 Schrock Rd
Ste 205
Columbus, OH 43229
Phone (888) 860-0333
2800 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 523-0668
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Monad Health Cbus LLC | 5% Or Greater Direct Ownership Interest | Sep 28, 2021 | 100% |
| Operational/Managerial Control | Sep 28, 2021 | 100% | |
| Monad Health Inc | 5% Or Greater Indirect Ownership Interest | Sep 28, 2021 | 100% |
| Byline Bank | 5% Or Greater Security Interest | Sep 28, 2021 | 100% |
| Douglas Speelman | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | |
| Bharath Pentyala | Corporate Officer | Sep 28, 2021 | 11.59% |
| Corporate Director | Sep 28, 2021 | 11.59% | |
| Bhanu Gopalam | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 9.41% |
| Sarah Pentyala | 5% Or Greater Indirect Ownership Interest | Sep 28, 2021 | 63.42% |
| Corporate Officer | Sep 28, 2021 | 63.42% | |
| Corporate Director | Sep 28, 2021 | 63.42% | |
| W-2 Managing Employee | Sep 28, 2021 | 63.42% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Portsmouth, OH
- NPI 1699886382
Monad Health Cbus LLC, Monad Health Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Columbus, OH
- NPI 1821742099
Affiliated clinicians 2
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": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1174669956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 SCHROCK RD STE 205",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432291179",
"telephone_number": "888-860-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 SCHROCK RD STE 205",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432291179",
"telephone_number": "888-860-0333",
"fax_number": "888-645-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHROCK HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "614-523-0668"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.