Phillips Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHILLIPS HEALTHCARE LLC

Doing business as

Nightingale Care

Practice address

777 E Market St
Warren, OH 44481-1276

Phone

(330) 531-6110

Fax

(330) 531-6113

NPI assigned

Sep 13, 2012

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meghan Hunter

Title

President

Phone

(330) 531-6110

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• Nightingale Care Doing business as
• Caring Hearts of the Valley Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427308808. Details of each certification follow.

• CCN 368488 Home health agency · Active · Details

Home health agency certification: CCN 368488

Legal name

PHILLIPS HEALTHCARE, LLC

Doing business as

NIGHTINGALE CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 16, 2013

Last certification

Dec 4, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 2, 2012 in OH

Enrollment address

777 East Market St
Warren, OH 44481
HHA Branch

Listed as

Nightingale CareCCN 368488 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

May 16, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jenna E Speziale, CNP, FNP-BC

  • Family Nurse Practitioner
  • Boardman, OH
  • NPI 1962959445

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1427308808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811276",
            "telephone_number": "330-531-6110",
            "fax_number": "330-531-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811276",
            "telephone_number": "330-531-6110",
            "fax_number": "330-531-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-531-6110"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-8488",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@nightingale-care.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 E Market St",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444811276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nightingale Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caring Hearts of the Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Maris Pettenati, MD
• Emily Pettitt
• Raven Simone Pew, RN
• Terry B Philibin, D.D.S., M.S.
• Phillip Maiden M.D.
• Ajjiaree Nekeyia Phillips, NP
• Charles Phillips
• Cherin Phillips
• Heather Ann Phillips, CDCA
• Physical Therapy & Sports Rehab, Inc.

• Home Health Agency in Warren, OH
• Providers in Warren, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.

Verify at the official NPI Registry.