NPIMap

Organization Active NPI

Community Mercy Home Care Services of Springfield, LLC

  • Home Health Agency
  • Springfield, OH
National Provider Identifier
1790779221
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD, LLC
Practice address
1111 N Plum St Ste 5
Springfield, OH 45504-2154
Phone
(937) 328-5113
Fax
(937) 521-2305
NPI assigned
Sep 12, 2005
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Jack Hawkins
Title
VP Finance Cfo
Phone
(513) 576-8478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1111 N Plum St Ste 5
Springfield, OH 45504-2154

Mailing address

6281 Tri Ridge Blvd Ste 300
Loveland, OH 45140-8345
Phone (513) 576-8472

Other identifiers 1

IdentifierTypeStateIssuer
2269478MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000758 OH Part A Provider - Home Health Agency 1456325026 Practice locations: Springfield, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790779221. Details of each certification follow.

Home health agency certification: CCN 367447

Legal name
COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD, LLC
Doing business as
COMMUNITY MERCY HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 5, 1989
Last certification
Dec 19, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 11, 2005 in OH
Enrollment address
1111N Plum St 5
Springfield, OH 45504-2154
HHA Branch

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: Home health agency

Medicare Care Compare
Listed as
Community Mercy Home Care, LLCCCN 367447 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 5, 1989
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
36D0959392Community Mercy Home Care Services1111 N Plum Street #5, Springfield, OH 45504Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1700 Edison Dr
Ste 300
Milford, OH 45150
Phone (513) 576-0262

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
William C Crabtree Individual Corporate OfficerChairman/Board Member Jan 1, 2024
Health at Home Holdco, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 33%
Commonspirit Health Organization, Englewood, CO Non-profit 5% Or Greater Indirect Ownership Interest Mar 30, 2011 100%
Commonspirit Health at Home, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 100%
Rhonda Beane Individual Corporate DirectorBoard Member Jan 1, 2021
Cynthia a Beam Individual W-2 Managing EmployeeAd; Jan 1, 2024
Kendra Onsgard Individual Corporate DirectorCno/Board Member Jan 1, 2025
Health at Home Blocker, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 67%
Jenelle Zelinski Individual Corporate DirectorBoard Member Jan 1, 2020
Consolidated Health Services LLC Organization, Loveland, OH LLC 5% Or Greater Indirect Ownership Interest Oct 11, 2005 100%
Thomas a. Drook Individual Corporate Director Jan 1, 2024
American Nursing Care, LLC Organization, Loveland, OH LLC 5% Or Greater Direct Ownership Interest Oct 11, 2005 50%
Benjamin Merick Individual Corporate OfficerVP Ops/Board Member Dec 15, 2021
Community Mercy Health Partners Organization, Springfield, OH For-profit 5% Or Greater Direct Ownership Interest Oct 11, 2005 50%
Jack D Hawkins Individual Corporate OfficerVP Finance & Cfo Feb 1, 2022

Owners & managing parties with NPI records 8

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

Facilities with the same owner 53

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

  • American Nursing Care, LLC
    • Home Health Agency
    • Zanesville, OH
    • NPI 1174517569

    Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • American-Mercy Home Care LLC
    • Home Health Agency
    • Cincinnati, OH
    • NPI 1386849008

    American Nursing Care, LLC, Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • Reid-Anc Home Care Services, LLC

    dba Reid Home Health

    • Home Health Agency
    • Eaton, OH
    • NPI 1285286112

    American Nursing Care, LLC, Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • Southeastern Home Care LLC
    • Home Health Agency
    • Cambridge, OH
    • NPI 1851628028

    American Nursing Care, LLC, Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • American Nursing Care, LLC
    • Home Health Agency
    • Columbus, IN
    • NPI 1093748402

    Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • Baptist Health Deaconess Madisonville Home Care, LLC

    dba Baptist Health Deaconess Health at Home

    • Home Health Agency
    • Madisonville, KY
    • NPI 1316723836

    Commonspirit Health at Home, LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • Centura Ventures, LLC

    dba Home Health Denver

    • Home Health Agency
    • Centennial, CO
    • NPI 1174634349

    Commonspirit Health at Home, LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • Centura Ventures, LLC

    dba Home Health Bristlecone

    • Home Health Agency
    • Frisco, CO
    • NPI 1437254612

    Commonspirit Health at Home, LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • CHI National Home Care, LLC

    dba Home Health Colorado Springs

    • Home Health Agency
    • Colorado Springs, CO
    • NPI 1225902786

    Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • CHI National Home Care, LLC

    dba CHI Health at Home - Lincoln

    • Community Based Hospice Care Agency
    • Lincoln, NE
    • NPI 1235475351

    Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • CHI National Home Care, LLC

    dba Hospice Mercy

    • Community Based Hospice Care Agency
    • Durango, CO
    • NPI 1316811870

    Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
  • CHI National Home Care, LLC

    dba Home Health Mercy

    • Home Health Agency
    • Durango, CO
    • NPI 1407720964

    Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC

    CMS ownership
View all 53

Practitioners & affiliated clinicians

Affiliated clinicians 52

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1790779221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 TRI RIDGE BLVD STE 300",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408345",
            "telephone_number": "513-576-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N PLUM ST STE 5",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042154",
            "telephone_number": "937-328-5113",
            "fax_number": "937-521-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "VP FINANCE CFO",
        "authorized_official_telephone_number": "513-576-8478"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2269478",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.