NPIMap

Organization Active NPI

South County Home Health

  • Home Health Agency
  • Narragansett, RI
National Provider Identifier
1831172907
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTH COUNTY HOME HEALTH
Practice address
14 Woodruff Ave
Suite 7
Narragansett, RI 02882-3467
Phone
(401) 782-0500
Fax
(401) 788-2311
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Ansje Gershkoff, MBA, RN, CMC
Title
Director, South County Home Heaalth
Phone
(401) 788-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14 Woodruff Ave
Suite 7
Narragansett, RI 02882-3467

Mailing address

14 Woodruff Ave
Suite 7
Narragansett, RI 02882-3467
Phone (401) 782-0500

Other identifiers 1

IdentifierTypeStateIssuer
RI417023MedicaidRI

Other names 1

  • VNS Home Health Services Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000302 RI Part A Provider - Home Health Agency 4486782174 Practice locations: Wakefield, RI

Home health agency certification: CCN 417023

Legal name
SOUTH COUNTY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 1, 1968
Last certification
Apr 23, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 24, 1967 in RI
Enrollment address
1 High St
Wakefield, RI 02879-3103
HHA Branch

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
James L Farrell Individual Corporate Director May 1, 2016
Betty Ann Rambur Individual Corporate Director May 1, 2017
John Howland Individual Corporate Director May 1, 2016
Kelly Pucino Individual Corporate DirectorDirector South County Health Oct 9, 2023
W-2 Managing Employee Oct 9, 2023
Austin Smith Individual Corporate Director May 1, 2016
Jason Marshall Individual Corporate Director May 1, 2009
Victoria Wicks Individual Corporate Director May 1, 2017

Affiliated clinicians 93

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

View all 93

Care Compare: Home health agency

Medicare Care Compare
Listed as
South County Home HealthCCN 417023
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Jan 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1831172907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODRUFF AVE",
            "address_2": "SUITE 7",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823467",
            "telephone_number": "401-782-0500",
            "fax_number": "401-788-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WOODRUFF AVE",
            "address_2": "SUITE 7",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823467",
            "telephone_number": "401-782-0500",
            "fax_number": "401-788-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "GERSHKOFF",
        "authorized_official_first_name": "ANSJE",
        "authorized_official_title_or_position": "DIRECTOR, SOUTH COUNTY HOME HEAALTH",
        "authorized_official_telephone_number": "401-788-2330",
        "authorized_official_credential": "MBA, RN, CMC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RI417023",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNS Home Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Narragansett, RI

Sources for this page

Verify at the official NPI Registry.