Active NPI
Marina Home Health, LLC
- Durable Medical Equipment & Medical Supplies
- Sandusky, OH
National Provider Identifier
1356586747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARINA HOME HEALTH, LLC
- Practice address
- 709 W Washington St
Sandusky, OH 44870-2334 - Phone
- (419) 625-4312
- Fax
- (416) 502-4312
- NPI assigned
- Dec 13, 2008
- 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
- Allison M. Will
- Title
- Owner/President
- Phone
- (419) 625-4312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
709 W Washington St
Sandusky, OH 44870-2334
Mailing address
709 W Washington St
Sandusky, OH 44870-2334
Phone (419) 625-4312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3143217 | Medicaid | OH |
Other names 1
- Marina Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072193 | OH | DME Supplier - Medical Supply Company | 4082814306 | Practice locations: Sandusky, OH |
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Marina Home Health, LLC | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Negative Pressure Wound Therapy Pumps… | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
604 W Washington St
Sandusky, OH 44870
Phone (419) 625-4312
709 W Washington St
Sandusky, OH 44870
Phone (419) 448-4040
2445 W Market St
Tiffin, OH 44883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1356586747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W WASHINGTON ST",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448702334",
"telephone_number": "419-625-4312",
"fax_number": "416-502-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W WASHINGTON ST",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448702334",
"telephone_number": "419-625-4312",
"fax_number": "416-502-4312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "WILL",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "419-625-4312"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3143217",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marina Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marina Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.