Organization Active NPI

Southwest Regional Home Care Inc.

  • Home Health Agency
  • Georgetown, OH
National Provider Identifier
1740379585
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1115 Issued in OH
Legal business name
SOUTHWEST REGIONAL HOME CARE INC.
Practice address
419 Home St
Georgetown, OH 45121-1407
Phone
(937) 378-7150
Fax
(937) 378-7151
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Jennifer Brauer
Title
Receiver's Agent/Project Manager
Phone
(513) 489-7399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1115 OH Primary

Addresses

Primary practice location

419 Home St
Georgetown, OH 45121-1407

Mailing address

419 Home St
Georgetown, OH 45121-1407
Phone (937) 378-7150

Other identifiers 2

IdentifierTypeStateIssuer
367118OtherOHMEDICARE ID-TYPE
0194258MedicaidOH

Other names 1

  • Southwest Regional Medical Center Home Care Other name

National Provider Directory

National Provider Directory

Locations

419 Home St
Georgetown, OH 45121
Phone (937) 378-7150

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1740379585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "937-378-7150",
            "fax_number": "937-378-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211407",
            "telephone_number": "937-378-7150",
            "fax_number": "937-378-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST REGIONAL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BRAUER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "RECEIVER'S AGENT/PROJECT MANAGER",
        "authorized_official_telephone_number": "513-489-7399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE",
            "identifier": "367118",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Regional Medical Center Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Georgetown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.