NPIMap

Organization Active NPI

Care at Home by Green Hills LLC

Doing business as Universal Home Health & Hospice

  • Community Based Hospice Care Agency
  • Bellefontaine, OH
National Provider Identifier
1720142573
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0022HSP Issued in OH
Legal business name
CARE AT HOME BY GREEN HILLS LLC
Doing business as
Universal Home Health & Hospice
Practice address
921 Rush Ave
Bellefontaine, OH 43311-2358
Phone
(937) 599-4940
NPI assigned
Dec 19, 2006
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Stephanie Christopher
Title
Cfo
Phone
(937) 465-5065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0022HSP OH Primary

Addresses

Primary practice location

921 Rush Ave
Bellefontaine, OH 43311-2358

Mailing address

921 Rush Ave
Bellefontaine, OH 43311-2358
Phone (937) 599-4940

Other names 1

  • Universal Home Health & Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170222000970 OH Part A Provider - Hospice 8022261908 Practice locations: Bellefontaine, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720142573. Details of each certification follow.

Hospice certification: CCN 361550

Legal name
CARE AT HOME BY GREEN HILLS LLC
Doing business as
OTTERBEIN UNIVERSAL HOME HEALTH & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 16, 1990
Last certification
Jul 15, 2021
Ownership / control type
Non-Profit - Private
Organization structure
LLCNon-profit
Incorporated
Sep 7, 2012 in OH
Enrollment address
921 Rush Ave
Bellefontaine, OH 43311

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Universal Home Health & HospiceCCN 361550 · All quality measures
Ownership
Non-Profit
Certified
Oct 16, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Care at Home by Green Hills LLC2 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.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Otterbein LSC, LLC Organization, Lebanon, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 23, 2024 100%
Charles Vernon Kratz Individual W-2 Managing EmployeeMedical Director Mar 10, 2010
Jill Wilson Individual Corporate OfficerPresident and Ceo Dec 23, 2024 1%
Otterbein Green Hills Foundation, Inc. Organization, Lebanon, OH Corporation 5% Or Greater Direct Ownership Interest Dec 1, 2016 100%
Michael Ray Individual Corporate OfficerPresident Dec 1, 2016
W-2 Managing EmployeeExecutive Director Dec 23, 2024
Otterbein Home Organization, Lebanon, OH Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2024 100%
James Christopher Green Individual Corporate OfficerTreasurer & Cfo Dec 23, 2024 1%
Karen Schlinglof Individual W-2 Managing EmployeeDirector of Home Health & Hospice Aug 1, 2020
Amber Swords Individual Corporate DirectorBoard Member-Treasurer May 23, 2022
W-2 Managing EmployeeController Dec 23, 2024 1%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Change-of-ownership history 2

DateEventCounterparty
Dec 1, 2016 Change of OwnershipThis provider was the buyer Universal Home Health and Hospice Care IncCCN 361550, OH, NPI 1720142573
Dec 1, 2016 Change of OwnershipThis provider was the seller Otterbein Universal Home Health & HospiceCCN 361550, OH, NPI 1720142573

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1720142573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112358",
            "telephone_number": "937-599-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 RUSH AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112358",
            "telephone_number": "937-599-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AT HOME BY GREEN HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-465-5065"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0022HSP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Home Health & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.