Active NPI
Home Health by Windsor, LLC
- Home Health Agency
- Girard, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOME HEALTH BY WINDSOR, LLC
- Practice address
- 18 E Liberty St
Girard, OH 44420-2646 - Phone
- (330) 545-1550
- Fax
- (330) 545-2444
- NPI assigned
- Jan 23, 2008
- Last updated
- Jan 7, 2020
- 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
- Patrick William Cassidy
- Title
- Administrator
- Phone
- (440) 796-9516
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
18 E Liberty St
Girard, OH 44420-2646
Mailing address
18 E Liberty St
Girard, OH 44420-2646
Phone (330) 545-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3083845 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080717000211 | OH | Part A Provider - Home Health Agency | 1557434008 | Practice locations: Girard, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275710113. Details of each certification follow.
Home health agency certification: CCN 368278
- Legal name
- HOME HEALTH BY WINDSOR, LLC
- Doing business as
- WINDSOR HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 12, 2009
- Last certification
- Nov 12, 2009
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 1, 2008 in OH
- Enrollment address
- 18 E Liberty Street
Girard, OH 44420-2646
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Windsor Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 12, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, 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 |
|---|---|---|---|
| 36D1095795 | Home Health by Windsor LLC Dba Windsor Home Health | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
18 E Liberty St
Girard, OH 44420
Phone (330) 545-1550
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Victoria Javens | 5% Or Greater Direct Ownership Interest | Jul 1, 2019 | 60% |
| Limited Partnership Interest | Jul 1, 2019 | 60% | |
| John J Masternick | 5% Or Greater Direct Ownership Interest | Jan 24, 2008 | 40% |
| Jeena Anness | Corporate Director | May 4, 2021 | 100% |
| Operational/Managerial Control | May 4, 2021 | 90% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Youngstown, OH
- NPI 1831474840
-
- Psychiatric/Mental Health Registered Nurse
- Youngstown, OH
- NPI 1942575626
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Canfield, OH
- NPI 1518921352
Home health agency
-
- Adult Health Nurse Practitioner
- Youngstown, OH
- NPI 1184615254
Home health agency
-
- Internal Medicine Physician
- Warren, OH
- NPI 1619955796
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578355200000",
"number": "1275710113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E LIBERTY ST",
"city": "GIRARD",
"state": "OH",
"postal_code": "444202646",
"telephone_number": "330-545-1550",
"fax_number": "330-545-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E LIBERTY ST",
"city": "GIRARD",
"state": "OH",
"postal_code": "444202646",
"telephone_number": "330-545-1550",
"fax_number": "330-545-2444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTH BY WINDSOR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-23",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A",
"authorized_official_last_name": "CASSIDY",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "440-796-9516"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3083845",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Girard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.