Active NPI
Southeastern Home Care LLC
- Home Health Agency
- Cambridge, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SOUTHEASTERN HOME CARE LLC
- Practice address
- 1225 Woodlawn Ave Ste 113
Cambridge, OH 43725-3094 - Phone
- (740) 425-5117
- Fax
- (740) 425-5062
- NPI assigned
- Nov 10, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1225 Woodlawn Ave Ste 113
Cambridge, OH 43725-3094
Mailing address
6281 Tri Ridge Blvd Ste 300
Loveland, OH 45140-8345
Phone (513) 576-0262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3062635 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100311000577 | OH | Part A Provider - Home Health Agency | 3678608965 | Practice locations: Cambridge, OH |
Home health agency certification: CCN 367433
- Legal name
- SOUTHEASTERN HOME CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 23, 1988
- Last certification
- Jul 19, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Dec 11, 2009 in OH
- Enrollment address
- 1225 Woodlawn Ave
Ste 113
Cambridge, OH 43725-3094
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Southeastern Home Care, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 23, 1988
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Critical Access Hospital
- Barnesville, OH
- NPI 1235135450
Member Of
-
- Rural Acute Care Hospital
- Cambridge, OH
- NPI 1346247350
Member Of
Locations
700 W Main St
Barnesville, OH 43713
Phone (740) 425-5117
1225 Woodlawn Ave
Ste 113
Cambridge, OH 43725
Phone (740) 425-5117
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kendra a Pletcher | W-2 Managing Employee | Oct 6, 2017 | |
| Tom Sayre | Corporate Director | Dec 11, 2009 | |
| Health at Home Holdco, LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 33% |
| Whitney Unkrat | Corporate Officer | Feb 28, 2022 | |
| Commonspirit Health | 5% Or Greater Indirect Ownership Interest | Mar 30, 2011 | 100% |
| Commonspirit Health at Home, LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 100% |
| Lori Kirchoff | Corporate Officer | Jan 1, 2019 | |
| Gina Woods | Corporate Officer | Oct 19, 2018 | |
| Health at Home Blocker, LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 67% |
| Consolidated Health Services LLC | 5% Or Greater Indirect Ownership Interest | Dec 11, 2009 | 100% |
| Operational/Managerial Control | Dec 11, 2009 | 100% | |
| American Nursing Care, LLC | 5% Or Greater Direct Ownership Interest | Dec 11, 2009 | 60% |
| Earl Conaway | Corporate Officer | Jan 1, 2019 | |
| Southeastern Ohio Regional Medical Center Inc | 5% Or Greater Direct Ownership Interest | Dec 11, 2009 | 40% |
| Jack D Hawkins | Corporate Director | Feb 1, 2022 | |
| Wendy Elliott | Corporate Officer | Jun 8, 2020 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Home Health Agency
- Zanesville, OH
- NPI 1174517569
5% Or Greater Direct Ownership Interest
-
- Family Medicine Physician
- Cambridge, OH
- NPI 1699845867
Corporate Officer
-
- Rural Acute Care Hospital
- Cambridge, OH
- NPI 1346247350
5% Or Greater Direct Ownership Interest
-
- Home Health Agency
- Columbus, IN
- NPI 1093748402
5% Or Greater Direct Ownership Interest
Facilities with the same owner 53
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- 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
-
- 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
-
- Home Health Agency
- Springfield, OH
- NPI 1790779221
American Nursing Care, LLC, Commonspirit Health at Home, LLC, Consolidated Health Services LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC
-
- 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
-
- 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
-
- Home Health Agency
- Madisonville, KY
- NPI 1316723836
Commonspirit Health at Home, LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC
-
- Home Health Agency
- Centennial, CO
- NPI 1174634349
Commonspirit Health at Home, LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC
-
- Home Health Agency
- Frisco, CO
- NPI 1437254612
Commonspirit Health at Home, LLC, Health at Home Blocker, LLC, Health at Home Holdco, LLC
-
- 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
-
- 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
-
- 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
-
- 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
Practitioners & affiliated clinicians
Affiliated clinicians 21
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Cambridge, OH
- NPI 1518956473
Home health agency
-
- Internal Medicine Physician
- Saint Clairsville, OH
- NPI 1174523641
Home health agency
-
- Family Nurse Practitioner
- Quaker City, OH
- NPI 1346589553
Home health agency
-
- Acute Care Nurse Practitioner
- Barnesville, OH
- NPI 1689350043
Home health agency
-
- Family Nurse Practitioner
- Barnesville, OH
- NPI 1609441674
Home health agency
-
- Foot & Ankle Surgery Podiatrist
- Cambridge, OH
- NPI 1467038422
Home health agency
-
- Internal Medicine Physician
- Martins Ferry, OH
- NPI 1619080314
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658275200000",
"number": "1851628028",
"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": "513-576-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 WOODLAWN AVE STE 113",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437253094",
"telephone_number": "740-425-5117",
"fax_number": "740-425-5062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-10",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"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": "3062635",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
- Jessica Rachel Keith Snyder
- Mary Snyder, PHARMD, RPH
- Rachel A Sohonage, LPN
- Todd D. Solomon, M.D.
- Southeast Ohio Rehabilitation Services, LLC
- Southeastern Ohio Associated Radiology Inc
- Southeastern Ohio Physicians, Inc.
- Southeastern Ohio Regional Medical Center Inc
- Southeastern Ohio Regional Medical Center Inc
- Southern Ohio Emergency Physicians, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.