Masonic Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MASONIC HOME CARE

Practice address

2655 W National Rd
Springfield, OH 45504-3617

Phone

(937) 525-3006

Fax

(937) 505-4005

NPI assigned

Jul 7, 2008

Organization subpart

Yes

Parent organization

MASONIC SENIOR SERVICES OF OHIOAs reported in NPPES

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

Authorized official

Name

Mr. Gregory F Holm

Title

President, Mssoc

Phone

(937) 525-3005

Specialties & licenses 1

Addresses

Tax ID family

Masonic Senior Services of Ohio Corp2 organizations share this tax ID, including this one

Part of

Masonic Senior Services of Ohio Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Masonic Senior Services of Ohio Corp.

  • In Home Supportive Care Agency
  • Fairborn, OH
  • NPI 1497085773
  NPD tax ID

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1437312857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W NATIONAL RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455043617",
            "telephone_number": "937-525-3006",
            "fax_number": "937-505-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W NATIONAL RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455043617",
            "telephone_number": "937-525-3006",
            "fax_number": "937-505-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASONIC SENIOR SERVICES OF OHIO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT, MSSOC",
        "authorized_official_telephone_number": "937-525-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Lynn Martin, COTA/L
• Wendy Martin
• Yolanda K Marvin, LSW
• Mary Weller
• Margaret Mason
• Daniele Nicole Massey, RN
• Melinda Massie
• Olivia Masters, CCC-SLP
• Alexis Mastick
• Eric Mata, LSW, LCDCIII

• Home Health Agency in Springfield, OH
• Providers in Springfield, 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 Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.