Pro Health Care Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRO HEALTH CARE SERVICES, LLC.

Practice address

270 Main St
Groveport, OH 43125-1180

Phone

(614) 856-9111

Fax

(614) 856-1691

NPI assigned

Nov 1, 2006

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ma de la Luz Munoz

Title

President/Ceo

Phone

(614) 856-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538246160. Details of each certification follow.

• CCN 367764 Home health agency · Active · Details

Home health agency certification: CCN 367764

Legal name

PRO HEALTH CARE SERVICES, LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 14, 1999

Last certification

Aug 21, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

270 Main St
Groveport, OH 43125-1180

Listed as

Pro Health Care ServicesCCN 367764 · All quality measures

Ownership

Proprietary

Certified

Oct 14, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1538246160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431250472",
            "telephone_number": "614-856-9111",
            "fax_number": "614-856-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MAIN ST",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251180",
            "telephone_number": "614-856-9111",
            "fax_number": "614-856-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "MA  DE LA LUZ",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "614-856-9111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.