Organization Active NPI

New Vision Nursing and Home Care LLC

  • Home Health Agency
  • Wapakoneta, OH
National Provider Identifier
1275745754
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEW VISION NURSING AND HOME CARE LLC
Practice address
310 Perry St
Wapakoneta, OH 45895
Phone
(567) 356-5113
Fax
(567) 356-5106
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Mrs. Teresa Lynn Doseck, REGISTERED NURSE
Title
Owner
Phone
(567) 356-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

310 Perry St
Wapakoneta, OH 45895

Mailing address

310 Perry St
Wapakoneta, OH 45895
Phone (567) 356-5113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000197 OH Part A Provider - Home Health Agency 9830274398 Practice locations: Wapakoneta, OH

Home health agency certification: CCN 368219

Legal name
NEW VISION NURSING AND HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 2008
Last certification
Aug 21, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 1, 2007 in OH
Enrollment address
310 Perry St
Wapakoneta, OH 45895-2119

Care Compare: Home health agency

Medicare Care Compare
Listed as
New Vision Nursing and Home Care, LLCCCN 368219
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 19, 2008
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
36D1071339New Vision Nursing and Home Care LLC310 Perry St, Wapakoneta, OH 45895Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Mahgen Elise Nance Individual W-2 Managing EmployeeOffice Manager Jan 1, 2010 100%
Teresa Lynn Doseck Individual 5% Or Greater Direct Ownership InterestOwner Feb 21, 2008 100%
Operational/Managerial Control Feb 21, 2008

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1275745754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PERRY ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "45895",
            "telephone_number": "567-356-5113",
            "fax_number": "567-356-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PERRY ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "45895",
            "telephone_number": "567-356-5113",
            "fax_number": "567-356-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION NURSING AND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "DOSECK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-356-5113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

Verify at the official NPI Registry.