Active NPI
Community Choice Home Care, Inc.
- Home Health Agency
- Portsmouth, OH
National Provider Identifier
1437131836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMMUNITY CHOICE HOME CARE, INC.
- Practice address
- 7318 Ohio River Rd
Portsmouth, OH 45662-5665 - Phone
- (740) 574-9900
- Fax
- (740) 574-9064
- NPI assigned
- Nov 19, 2005
- Last updated
- Nov 14, 2024
- 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
- Leslie J. Jewell, MSN, RN
- Title
- Administrator
- Phone
- (740) 574-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7318 Ohio River Rd
Portsmouth, OH 45662-5665
Mailing address
PO Box 148
Wheelersburg, OH 45694-0148
Phone (740) 574-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084900 | Medicaid | OH | |
| 2018195 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100323000041 | OH | Part A Provider - Home Health Agency | 1759416282 | Practice locations: Portsmouth, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437131836. Details of each certification follow.
Home health agency certification: CCN 367720
- Legal name
- COMMUNITY CHOICE HOME CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 9, 1997
- Last certification
- Sep 18, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 10, 1996 in OH
- Enrollment address
- 7318 Ohio River Road
Portsmouth, OH 45662-5665
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Community Choice Home Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 9, 1997
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Joshua Smith | W-2 Managing Employee | Feb 5, 2010 | |
| Melissa Smith | W-2 Managing Employee | Feb 5, 2010 | |
| Leslie Jewell | 5% Or Greater Direct Ownership Interest | Feb 5, 2010 | |
| W-2 Managing Employee | Feb 5, 2010 | ||
| Operational/Managerial Control | Feb 5, 2010 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1437131836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456940148",
"telephone_number": "740-574-9900",
"fax_number": "740-574-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7318 OHIO RIVER RD",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456625665",
"telephone_number": "740-574-9900",
"fax_number": "740-574-9064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CHOICE HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-19",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "JEWELL",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "740-574-9900",
"authorized_official_credential": "MSN, RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0084900",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018195",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
- Community Action Organization of Scioto County, Inc.
- Community Action Organization of Scioto County, Inc.
- Community Action Organization of Scioto County, Inc. (CAO Center For Dental Wellness)
- Community Action Organization of Scioto County, Inc.
- Community Care Home Medical LLC
- Community Choice, LLC.
- Compass Community Health (Compass Pharmacy)
- Compass Community Health
- Compass Community Health
- Compass Community Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.