Americare Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1563558 Issued in OH

Legal business name

AMERICARE HOME HEALTH AGENCY LLC

Practice address

1615 S Alex Rd
Dayton, OH 45449-5406

Phone

(937) 287-8395

Fax

(937) 353-8357

NPI assigned

Oct 12, 2006

Last updated

Mar 5, 2024By 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

Kimberly Ann Randolph, L.P.N.

Title

Authorized Official

Phone

(937) 353-8575

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• AMERICARE HOME HEALTH AGENCY LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679662456. Details of each certification follow.

• CCN 368162 Home health agency · Active · Details

Home health agency certification: CCN 368162

Legal name

AMERICARE HOME HEALTH AGENCY LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 6, 2006

Last certification

Feb 27, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 17, 2005 in OH

Enrollment address

1615 S Alex Rd
Ste a
Dayton, OH 45449-5407

Listed as

Americare Home Health AgencyCCN 368162 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Oct 6, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, 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

Tax ID family

Americare Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Americare Home Health

  • Home Health Agency
  • Dayton, OH
  • NPI 1639151186
  NPD tax ID

Locations

All disclosed owners & managing parties 4

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadine K Hubley, DC

  • Chiropractor
  • Dayton, OH
  • NPI 1124166475
  NPD (past)

Affiliated clinicians 1

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

• Stefanie Cain, APRN

  • Family Nurse Practitioner
  • Moraine, OH
  • NPI 1104587914

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1679662456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S ALEX RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454495406",
            "telephone_number": "937-287-8395",
            "fax_number": "937-353-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S ALEX RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454495406",
            "telephone_number": "937-287-8395",
            "fax_number": "937-353-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "937-353-8575",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1563558",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683396",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODH",
            "identifier": "OH03966",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717886",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODH #",
            "identifier": "OH03966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICARE HOME HEALTH AGENCY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AMERICARE HOME HEALTH AGENCY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• American Fitness Health & Wellness Institute
• American General Transportation
• American Home Health Care (American Medical Equipment)
• American Institute of Medical Solutions, LLC (BlueGreen Home Health Care)
• Americare Home Health
• Connie Jean Ames, LPN
• Madison Ames
• Amita R. Patel, M.D., Inc. (Dayton Psychiatric Associates)
• Pamela Ann Amlin, R.N.
• Ashok K. Ammula, M.D.

• Home Health Agency in Dayton, OH
• Providers in Dayton, 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 Mar 5, 2024; 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.