Organization Active NPI

Home State Healthcare, Inc

  • Home Health Agency
  • Troy, OH
National Provider Identifier
1437648953
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME STATE HEALTHCARE, INC
Doing business as
Home State Healthcare
Practice address
410 W Main St
Troy, OH 45373-3244
Phone
(937) 335-2689
Fax
(937) 835-6223
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Lisa Broomhall
Title
Ceo
Phone
(937) 335-2689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

410 W Main St
Troy, OH 45373-3244

Mailing address

410 W Main St
Troy, OH 45373-3244
Phone (937) 335-2689

Other identifiers 1

IdentifierTypeStateIssuer
0165372MedicaidOH

Other names 1

  • Home State Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

410 W Main St
Troy, OH 45373
Phone (937) 335-1211

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1437648953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733244",
            "telephone_number": "937-335-2689",
            "fax_number": "937-835-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733244",
            "telephone_number": "937-335-2689",
            "fax_number": "937-835-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME STATE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "BROOMHALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-335-2689"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home State Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home State Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.