NPIMap

Organization Active NPI

SHHS, LLC

Doing business as Star Home Health Agency

  • Home Health Agency
  • Mount Vernon, OH
National Provider Identifier
1760076475
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHHS, LLC
Doing business as
Star Home Health Agency
Practice address
112 Harcourt Rd Ste 5
Mount Vernon, OH 43050-3944
Phone
(740) 324-0099
NPI assigned
Feb 23, 2021
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Kevin Stallard
Title
Partner
Phone
(740) 627-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

112 Harcourt Rd Ste 5
Mount Vernon, OH 43050-3944

Mailing address

112 Harcourt Rd Ste 5
Mount Vernon, OH 43050-3944
Phone (740) 830-6011

Other names 1

  • Star Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601002599 OH Part A Provider - Home Health Agency 4385043934 Practice locations: Mount Vernon, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760076475. Details of each certification follow.

Home health agency certification: CCN 369292

Legal name
SHHS, LLC
Doing business as
STAR HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 18, 2022
Last certification
Feb 10, 2022
Organization structure
LLCProprietary
Incorporated
Feb 6, 2021 in OH
Enrollment address
112 Harcourt Rd
Ste 5
Mount Vernon, OH 43050-3944
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Star Home Health AgencyCCN 369292 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Feb 18, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
36D2232338SHHS, LLC Dba Star Home Health Agency112 Harcourt Road, Suite 5, Mount Vernon, OH 43050Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory

Locations

112 Harcourt Rd
Ste 5
Mount Vernon, OH 43050
Phone (740) 324-0099

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kevin Stallard Individual 5% Or Greater Direct Ownership InterestPresident Jan 27, 2021 50%
Corporate OfficerPresident Apr 20, 2021 50%
W-2 Managing EmployeePresident Jan 27, 2021 50%
Robert Tiell Individual 5% Or Greater Direct Ownership InterestVice President/Treasurer Jan 27, 2021 50%
Corporate DirectorVice President Apr 20, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1760076475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD STE 5",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503944",
            "telephone_number": "740-830-6011",
            "fax_number": "740-830-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD STE 5",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503944",
            "telephone_number": "740-324-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHHS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "STALLARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "740-627-0701"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.