Organization Active NPI

Hill View Retirement Center

  • Home Health Agency
  • Portsmouth, OH
National Provider Identifier
1275004756
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HILL VIEW RETIREMENT CENTER
Doing business as
Hill View Home Health Care
Practice address
1610 28TH St
Portsmouth, OH 45662-2641
Phone
(740) 351-2346
Fax
(740) 351-2419
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
John Lee Prose
Title
President/Ceo
Phone
(740) 354-3135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1610 28TH St
Portsmouth, OH 45662-2641

Mailing address

1610 28TH St
Portsmouth, OH 45662-2641
Phone (740) 351-2346

Other names 1

  • Hill View 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
O20190123003817 OH Part A Provider - Home Health Agency 5092979419 Practice locations: Portsmouth, OH

Home health agency certification: CCN 368458

Legal name
HILL VIEW RETIREMENT CENTER
Doing business as
HILL VIEW HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 23, 2012
Last certification
Oct 18, 2018
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jan 7, 1983 in OH
Enrollment address
1610 28TH St
Portsmouth, OH 45662-2641

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hill View Home Health CareCCN 368458
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Oct 23, 2012
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
36D2158774Hill View Home Health Care1610 28TH Street, Portsmouth, OH 45662Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hillview Retirement Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Timothy Angel Individual W-2 Managing EmployeeAd; Apr 22, 2019
Casey Braendle Individual W-2 Managing EmployeeHome Health Admin Nov 13, 2018
Barbara Glockner Individual Corporate OfficerSec Nov 13, 2018
Corporate DirectorBoard Member / Sec Nov 13, 2018
George Moore Individual Corporate OfficerTreasurer Nov 13, 2018
Corporate DirectorBoard Menmber/Treasurer Nov 13, 2018
Joanne Charles Individual Corporate DirectorBoard Member Nov 13, 2018
Hill View Retirement Center Organization, Portsmouth, OH Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Nov 13, 2018 100%
Operational/Managerial Control Nov 13, 2018
Kevin Blume Individual Corporate OfficerChairperson Nov 13, 2018
Corporate DirectorBoard Member/Chairperson Nov 13, 2018
Ronald McKenzie Individual Corporate OfficerVice Chairperson Nov 13, 2018
Corporate DirectorBoard Member/Vice Chairperson Nov 13, 2018
Harley Roston Individual Corporate DirectorBoard Member Nov 13, 2018

Owners & managing parties with NPI records 1

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

Change-of-ownership history 1

DateEventCounterparty
Nov 13, 2018 Change of OwnershipThis provider was the buyer Infinity Home Health CareCCN 368458, OH, NPI 1003197401

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1275004756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 28TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622641",
            "telephone_number": "740-351-2346",
            "fax_number": "740-351-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 28TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622641",
            "telephone_number": "740-351-2346",
            "fax_number": "740-351-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL VIEW RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "PROSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "740-354-3135"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill View Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.