Organization Active NPI

Enhanced Homecare of Medina Inc

  • Home Health Agency
  • Medina, OH
National Provider Identifier
1750706099
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ENHANCED HOMECARE OF MEDINA INC
Practice address
4075A N Jefferson St
Medina, OH 44256-5622
Phone
(330) 952-2331
Fax
(330) 952-2363
NPI assigned
Feb 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Mr. Edward John Swinarski, PT
Title
President
Phone
(440) 339-4228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4075A N Jefferson St
Medina, OH 44256-5622

Mailing address

4075A N Jefferson St
Medina, OH 44256-5622
Phone (330) 952-2331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140925002588 OH Part A Provider - Home Health Agency 5799905766 Practice locations: Medina, OH

Home health agency certification: CCN 369142

Legal name
ENHANCED HOMECARE OF MEDINA INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 25, 2016
Last certification
Apr 25, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 27, 2012 in OH
Enrollment address
4075A N Jefferson St
Medina, OH 44256-5622

Care Compare: Home health agency

Medicare Care Compare
Listed as
Enhanced Homecare of Medina IncCCN 369142
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 25, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
36D2081069Enhanced Homecare of Medina Inc4075A N Jefferson St, Medina, OH 44256Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

4075 N Jefferson St
#A
Medina, OH 44256
Phone (330) 952-2331

3745 Medina Rd
Ste E
Medina, OH 44256

Ownership & related parties

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.

NameRoleSinceShare
Edward Swinarski Individual 5% Or Greater Direct Ownership InterestPresident Feb 27, 2012 100%
W-2 Managing EmployeePresident/Ceo Oct 19, 2017 100%

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1750706099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075A N JEFFERSON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565622",
            "telephone_number": "330-952-2331",
            "fax_number": "330-952-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075A N JEFFERSON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565622",
            "telephone_number": "330-952-2331",
            "fax_number": "330-952-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED HOMECARE OF MEDINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "SWINARSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-339-4228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.