Active NPI
Nationwide Children's Hospital Homecare
- Home Health Agency
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NATIONWIDE CHILDREN'S HOSPITAL HOMECARE
- Practice address
- 255 E Main St
Columbus, OH 43215-5222 - Phone
- (614) 355-1100
- Fax
- (614) 355-1182
- NPI assigned
- Jul 7, 2005
- Last updated
- May 2, 2008
- Organization subpart
- Yes
- Parent organization
- NATIONWIDE CHILDREN'S HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Stackpole, RN
- Title
- VP Homecare
- Phone
- (614) 355-1100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X | BC3288455 | OH | |
| Community Based Hospice Care Agency | 251G00000X | 0097-HSP | OH |
Addresses
Primary practice location
255 E Main St
Columbus, OH 43215-5222
Mailing address
255 E Main St
Columbus, OH 43215-5222
Phone (614) 355-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0842860 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Nationwide Children's Hospital Pharmacy
Locations
26 Hospital Dr
Ste 2300
Athens, OH 45701
Phone (740) 331-6341
536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Nationwide Children's Hospital | 5% Or Greater Direct Ownership Interest | Apr 12, 2007 | 100% |
| Timothy Robinson | Corporate Officer | Apr 12, 2007 | |
| Operational/Managerial Control | Apr 12, 2007 | ||
| Wanda Stackpole | Corporate Director | Apr 12, 2007 | |
| Richard Miller | Corporate Officer | Apr 12, 2007 | |
| Operational/Managerial Control | Apr 12, 2007 | ||
| Linda Stoverock | Corporate Officer | Apr 12, 2007 | |
| Operational/Managerial Control | Apr 12, 2007 |
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Athens, OH
- NPI 1659298636
-
- Pediatric Dentistry
- Columbus, OH
- NPI 1548992993
-
- Pediatric Dentistry
- Columbus, OH
- NPI 1912647066
-
- Pediatric Dentistry
- Columbus, OH
- NPI 1003671462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1417955170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155222",
"telephone_number": "614-355-1100",
"fax_number": "614-355-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155222",
"telephone_number": "614-355-1100",
"fax_number": "614-355-1182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONWIDE CHILDREN'S HOSPITAL HOMECARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONWIDE CHILDREN'S HOSPITAL",
"enumeration_date": "2005-07-07",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "STACKPOLE",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "VP HOMECARE",
"authorized_official_telephone_number": "614-355-1100",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "OH",
"license": "BC3288455",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OH",
"license": "0097-HSP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0842860",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Nationwide Children's Hospital
- Nationwide Children's Hospital
- Nationwide Children's Hospital
- Nationwide Children's Hospital
- Nationwide Children's Hospital ,Inc
- Nationwide Children's Hospital Pharmacy
- Nationwide Children's Hospital, Inc (Nationwide Children's Hospital Behavioral Health Services)
- Nationwide Childrens Hospital
- Nationwide Childrens Hospital Homecare
- Nationwide Childrens Hospital Homecare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.