Active NPI
Home State Healthcare, Inc
- Home Health Agency
- Troy, OH
National Provider Identifier
1437648953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165372 | Medicaid | OH |
Other names 1
- Home State Healthcare
National Provider Directory
National Provider DirectoryLocations
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.