Homesite Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

OH03566 Issued in OH

Legal business name

HOMESITE HOME HEALTH CARE LLC

Practice address

4800 Urbana Rd Ste 103
Springfield, OH 45502-8323

Phone

(937) 717-0158

Fax

(937) 717-0139

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mary D Pencil, RN

Title

Administrator

Phone

(937) 717-0158

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Angels Home Health Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368047

Legal name

HOMESITE HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 25, 2004

Last certification

Aug 1, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 21, 2003 in OH

Enrollment address

4800 Urbana Rd
Ste 103
Springfield, OH 45502-8323

Listed as

Homesite Home Health Care, LLCCCN 368047

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Feb 25, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 4

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Alliance Home Healthcare Services LLC

  • Home Health Agency
  • New Carlisle, OH
  • NPI 1902166572

  J & M Pencil LLC

  CMS ownership

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1245442011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 URBANA RD STE 103",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028323",
            "telephone_number": "937-717-0158",
            "fax_number": "937-717-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 URBANA RD STE 103",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028323",
            "telephone_number": "937-717-0158",
            "fax_number": "937-717-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESITE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "PENCIL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-717-0158",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "OH03566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2468397",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Angels Home Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Country Angels Home Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jai'Lynn Holliday
• Christopher Keith Holloway, MD
• Marcia Holmes
• James L Holtz Jr.
• Jeffrey David Holtzlander, M.D.
• Hometown Ancillary Services LLC
• Hometown Ancillary Services LLC
• Barbara Ann Honnold, PTA
• Naomi Hookfin
• Christy Hooten

• Home Health Agency in Springfield, OH
• Providers in Springfield, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.