Community Caregivers of Medina County LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY CAREGIVERS OF MEDINA COUNTY LLC.

Practice address

230 Quadral Dr
Ste. D
Wadsworth, OH 44281-8376

Phone

(330) 725-9800

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Thomas Nemeth

Title

Owner

Phone

(330) 725-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368457

Legal name

COMMUNITY CAREGIVERS OF MEDINA COUNTY LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 15, 2012

Last certification

Feb 6, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 22, 2008 in OH

Enrollment address

230 Quadral Dr
Ste D
Wadsworth, OH 44281-8375

Listed as

Community Caregivers of Medina County LLCCCN 368457 · All quality measures

Ownership

Proprietary

Certified

Nov 15, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1841430378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 QUADRAL DR",
            "address_2": "STE. D",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818376",
            "telephone_number": "330-725-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 QUADRAL DR",
            "address_2": "STE. D",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818376",
            "telephone_number": "330-725-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CAREGIVERS OF MEDINA COUNTY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "NEMETH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-725-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.