Organization Active NPI

Schrock Home Care LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1174669956
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 21, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 368216 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 14, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
36D1092685Schrock Home Care, LLC1103 Schrock Road, Suite 201, Columbus, OH 43229Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Monad Health Cbus LLC Organization, Columbus, OH Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 28, 2021 100%
Operational/Managerial Control Sep 28, 2021 100%
Monad Health Inc Organization, Columbus, OH Corporation 5% Or Greater Indirect Ownership Interest Sep 28, 2021 100%
Byline Bank Organization, Brookfield, WI Financial institution 5% Or Greater Security Interest Sep 28, 2021 100%
Douglas Speelman Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024
Bharath Pentyala Individual Corporate Officer Sep 28, 2021 11.59%
Corporate DirectorCeo Sep 28, 2021 11.59%
Bhanu Gopalam Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 9.41%
Sarah Pentyala Individual 5% Or Greater Indirect Ownership InterestPresident Sep 28, 2021 63.42%
Corporate OfficerPresident 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.

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.