Organization Active NPI

Community Health Network LTD

  • Home Health Agency
  • Wooster, OH
National Provider Identifier
1508208604
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2186373 Issued in OH
Legal business name
COMMUNITY HEALTH NETWORK LTD
Practice address
1660 Enterprise Pkwy Ste a
Wooster, OH 44691-7968
Phone
(306) 641-4195
Fax
(330) 809-6366
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Sara Katharine Marty, RNNPI 1871376459
Title
Administrator
Phone
(330) 988-4966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2186373 OH Primary

Addresses

Primary practice location

1660 Enterprise Pkwy Ste a
Wooster, OH 44691-7968

Mailing address

1660 Enterprise Pkwy Ste a
Wooster, OH 44691-7968
Phone (330) 641-4195

Other identifiers 1

IdentifierTypeStateIssuer
0160587MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131205001878 OH Part A Provider - Home Health Agency 5193952745 Practice locations: Wooster, OH

Home health agency certification: CCN 369129

Legal name
COMMUNITY HEALTH NETWORK, LTD
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 1, 2015
Last certification
Dec 1, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1660 Enterprise Pkwy
Ste a
Wooster, OH 44691-7968
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Health Network LTDCCN 369129
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 1, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2085602Community Health Network LTD1660 Enterprise Parkway, Wooster, OH 44691Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations

1660 Enterprise Pkwy
Ste A
Wooster, OH 44691
Phone (306) 641-4195

2200 Benden Dr
Ste 5
Wooster, OH 44691

Ownership & related parties

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.

NameRoleSinceShare
Kristine K Knetzer Individual 5% Or Greater Direct Ownership Interest Mar 29, 2013 100%
Corporate DirectorPresident, Owner Mar 29, 2013 100%
Operational/Managerial ControlPresident Mar 29, 2013 100%
Sara Marty Individual Corporate DirectorAdministrator May 19, 2023 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1508208604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 ENTERPRISE PKWY STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917968",
            "telephone_number": "330-641-4195",
            "fax_number": "330-809-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 ENTERPRISE PKWY STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917968",
            "telephone_number": "306-641-4195",
            "fax_number": "330-809-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MARTY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "KATHARINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-988-4966",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2186373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.