NPIMap

Organization Active NPI

Health at Home, LLC

  • Home Health Agency
  • Dayton, OH
National Provider Identifier
1265768956
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH AT HOME, LLC
Practice address
6445 Far Hills Ave
Dayton, OH 45459-2725
Phone
(937) 436-7700
Fax
(937) 436-7702
NPI assigned
Oct 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dana Albaugh, RN, BSN, MBA-HM
Title
Director
Phone
(937) 436-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6445 Far Hills Ave
Dayton, OH 45459-2725

Mailing address

6443 Bethany Village Drive
Dayton, OH 45459
Phone (937) 436-7700

Other names 1

  • Bethany Village Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000665 OH Part A Provider - Home Health Agency 8325173321 Practice locations: Dayton, OH

Home health agency certification: CCN 368343

Legal name
HEALTH AT HOME, LLC
Doing business as
BETHANY VILLAGE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 29, 2010
Last certification
Dec 29, 2010
Ownership / control type
Non-Profit
Organization structure
LLCNon-profit
Incorporated
Jun 27, 2008 in OH
Enrollment address
6445 Far Hills Ave
Dayton, OH 45459-2725

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bethany Village Home Health CareCCN 368343
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Dec 29, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
36D1104574Health at Home LLC Dba6445 Far Hills Ave, Dayton, OH 45459Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6443 Bethany Village Dr
Dayton, OH 45459
Phone (937) 436-7700

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Graceworks at Home Organization, Dayton, OH Non-profit 5% Or Greater Direct Ownership Interest Jun 27, 2008 100%
Graceworks Lutheran Services Organization, Dayton, OH Non-profit 5% Or Greater Indirect Ownership Interest Jun 27, 2008 100%
Operational/Managerial Control Jun 27, 2008 100%
Jackie Anne D'Aurora Individual Corporate OfficerOfficer May 14, 2019
Dana Albaugh Individual Corporate Director Dec 1, 2022
W-2 Managing EmployeeDirector Dec 1, 2022
Judy Budi Individual Corporate OfficerPresident & Ceo Jun 28, 2008
W-2 Managing Employee Feb 8, 2012
Operational/Managerial ControlPresident Ceo Feb 8, 2012 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 22

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1265768956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 BETHANY VILLAGE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-436-7700",
            "fax_number": "937-436-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592725",
            "telephone_number": "937-436-7700",
            "fax_number": "937-436-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "ALBAUGH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-436-7717",
        "authorized_official_credential": "RN, BSN, MBA-HM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Village Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.