Organization Active NPI

Marina Home Health, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sandusky, OH
National Provider Identifier
1356586747
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 13, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3143217MedicaidOH

Other names 1

  • Marina Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930072193 OH DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4082814306 Practice locations: Sandusky, OH

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Marina Home Health, LLC709 W Washington St, Sandusky, OH 44870-2334(419) 625-4312 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 assignmentParticipating since Oct 2, 2009

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.