Active NPI
Your Choice Home Health Services Inc
- Home Health Agency
- Ontario, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2021212
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael S Mazak, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jan 12, 2012 in OH
- Enrollment address
- 2230 Village Mall Dr
Ste 600
Ontario, OH 44906-4025
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Your Choice Home Health Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 24, 2014
- 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 |
|---|---|---|---|
| 36D2038682 | Your Choice Home Health Care, Inc | Certificate of waiver | Mar 22, 2028 |
National Provider Directory
National Provider DirectoryMember 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Debby Mazak | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 50% |
| W-2 Managing Employee | Jul 1, 2022 | ||
| Michael S Mazak | 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.
-
- Occupational Therapist
- Ontario, OH
- NPI 1891994364
-
- Physical Therapist
- Ontario, OH
- NPI 1558915397
-
- Speech-Language Pathologist
- Mansfield, OH
- NPI 1972793743
-
- Speech-Language Pathologist
- Ontario, OH
- NPI 1891098653
-
- Physical Therapist
- Mansfield, OH
- NPI 1427156918
-
- Physical Therapist
- North Canton, OH
- NPI 1659575876
-
- Physical Therapist
- Kent, OH
- NPI 1902850944
-
- Speech-Language Pathologist
- Ontario, OH
- NPI 1790110633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.