Organization Active NPI

Acclaim Home Health Services Inc

  • Home Health Agency
  • Mason, OH
National Provider Identifier
1720022569
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1628158 Issued in OH
Legal business name
ACCLAIM HOME HEALTH SERVICES INC
Practice address
7566 Central Parke Blvd
Mason, OH 45040-6816
Phone
(513) 336-6133
Fax
(513) 336-6134
NPI assigned
Jun 15, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Ms. Phetmany Brower
Title
President
Phone
(513) 336-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1628158 OH Primary

Addresses

Primary practice location

7566 Central Parke Blvd
Mason, OH 45040-6816

Mailing address

7566 Central Parke Blvd
Mason, OH 45040-6816
Phone (513) 336-6133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061003000264 OH Part A Provider - Home Health Agency 1951306562 Practice locations: Mason, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720022569. Details of each certification follow.

Home health agency certification: CCN 367668

Legal name
ACCLAIM HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 4, 1995
Last certification
Sep 27, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 9, 2006 in OH
Enrollment address
7566 Central Parke Blvd
Mason, OH 45040-6816

Care Compare: Home health agency

Medicare Care Compare
Listed as
Acclaim Home Health Services, IncCCN 367668 · All quality measures
Ownership
Proprietary
Certified
Dec 4, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
36D0912127Acclaim Home Health Services Inc7566 Central Parke Boulevard, Mason, OH 45040Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

7566 Central Parke Blvd
Mason, OH 45040
Phone (513) 336-6133

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Lehang Truong Individual 5% Or Greater Direct Ownership Interest Jun 9, 2006 31%
Corporate DirectorBoard Member Jun 9, 2007 31%
Boutsy Bouahom Individual 5% Or Greater Direct Ownership Interest Jun 9, 2006 31%
Corporate DirectorChairman of Board Jun 9, 2006 31%
W-2 Managing Employee Jan 1, 2009
Phetmany Brower Individual 5% Or Greater Direct Ownership InterestCeo, Board Member Jun 9, 2006 38%
Corporate OfficerCeo, Board Member Jun 9, 2006 100%
Corporate DirectorCeo, Board Member Jun 6, 2006 38%
W-2 Managing EmployeePresident, Ceo Jun 9, 2006 100%
Operational/Managerial ControlPresident, Ceo Jun 9, 2006 100%

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1720022569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7566 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406816",
            "telephone_number": "513-336-6133",
            "fax_number": "513-336-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406816",
            "telephone_number": "513-336-6133",
            "fax_number": "513-336-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "PHETMANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-336-6133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1628158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.