Montgomery Home Care Initiatives, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MONTGOMERY HOME CARE INITIATIVES, LLC

Practice address

5761 Springdale Rd
Suite O
Cincinnati, OH 45247-2727

Phone

(513) 702-4290

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Peggy L Dossman, RN

Title

Member

Phone

(513) 702-4290

Specialties & licenses 1

Addresses

Other names 1

• Montgomery Home Care, LLC Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369093

Legal name

MONTGOMERY HOME CARE INITIATIVES, LLC

Doing business as

MONTGOMERY HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 8, 2014

Last certification

Sep 8, 2014

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

5761 Springdale Road
Suite O
Cincinnati, OH 45247-2727
HHA Branch

Listed as

Montgomery Home Care LLCCCN 369093

Ownership

Proprietary

Certified

Sep 8, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276992000000",
    "number": "1467773473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 SPRINGDALE RD",
            "address_2": "SUITE O",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452472727",
            "telephone_number": "513-702-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 SPRINGDALE RD",
            "address_2": "SUITE O",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452472727",
            "telephone_number": "513-702-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY HOME CARE INITIATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-20",
        "status": "A",
        "authorized_official_last_name": "DOSSMAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "513-702-4290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Home Care, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Cincinnati, OH
• Providers in Cincinnati, 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 Jun 20, 2010; 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.