Active NPI
Hill View Retirement Center
- Home Health Agency
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 23, 2012
- 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 |
|---|---|---|---|
| 36D2158774 | Hill View Home Health Care | Certificate of waiver | Dec 5, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Hillview Retirement Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Portsmouth, OH
- NPI 1114721560
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy Angel | W-2 Managing Employee | Apr 22, 2019 | |
| Casey Braendle | W-2 Managing Employee | Nov 13, 2018 | |
| Barbara Glockner | Corporate Officer | Nov 13, 2018 | |
| Corporate Director | Nov 13, 2018 | ||
| George Moore | Corporate Officer | Nov 13, 2018 | |
| Corporate Director | Nov 13, 2018 | ||
| Joanne Charles | Corporate Director | Nov 13, 2018 | |
| Hill View Retirement Center | 5% Or Greater Direct Ownership Interest | Nov 13, 2018 | 100% |
| Operational/Managerial Control | Nov 13, 2018 | ||
| Kevin Blume | Corporate Officer | Nov 13, 2018 | |
| Corporate Director | Nov 13, 2018 | ||
| Ronald McKenzie | Corporate Officer | Nov 13, 2018 | |
| Corporate Director | Nov 13, 2018 | ||
| Harley Roston | Corporate Director | 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.
-
- Skilled Nursing Facility
- Portsmouth, OH
- NPI 1386708337
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 13, 2018 | Change of Ownership | Infinity Home Health Care |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- South Webster, OH
- NPI 1003197401
Acquired from, 2018-11-13
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Portsmouth, OH
- NPI 1962601229
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.