Organization Active NPI

Your Choice Home Health Services Inc

  • Home Health Agency
  • Ontario, OH
National Provider Identifier
1407129653
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2021212 Issued in OH
Legal business name
YOUR CHOICE HOME HEALTH SERVICES INC
Practice address
2230 Village Mall Dr Ste 600
Ontario, OH 44906-4025
Phone
(567) 333-0621
Fax
(567) 429-2900
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Mr. Michael S Mazak, OTR/LNPI 1891994364
Title
Administrator
Phone
(419) 961-6865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2021212 OH Primary

Addresses

Primary practice location

2230 Village Mall Dr Ste 600
Ontario, OH 44906-4025

Mailing address

2230 Village Mall Dr Ste 600
Ontario, OH 44906-4025
Phone (567) 333-0621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121024000248 OH Part A Provider - Home Health Agency 7214187475 Practice locations: Ontario, OH

Home health agency certification: CCN 369075

Legal name
YOUR CHOICE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 24, 2014
Last certification
Mar 24, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 12, 2012 in OH
Enrollment address
2230 Village Mall Dr
Ste 600
Ontario, OH 44906-4025
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Your Choice Home Health Services IncCCN 369075
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 24, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
36D2038682Your Choice Home Health Care, Inc2230 Village Mall Drive, Suite #600, Ontario, OH 44906Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1164 Wyandotte Ave
Mansfield, OH 44906
Phone (419) 756-5800

2230 Village Mall Dr
Ontario, OH 44906

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
Debby Mazak Individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 50%
W-2 Managing EmployeeBoard Member Jul 1, 2022
Michael S Mazak Individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 50%
W-2 Managing Employee Jul 1, 2022

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1407129653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 VILLAGE MALL DR STE 600",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449064025",
            "telephone_number": "567-333-0621",
            "fax_number": "567-429-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 VILLAGE MALL DR STE 600",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449064025",
            "telephone_number": "567-333-0621",
            "fax_number": "567-429-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MAZAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-961-6865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2021212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

Verify at the official NPI Registry.