Organization Active NPI

Alliance Home Healthcare Services LLC

  • Home Health Agency
  • New Carlisle, OH
National Provider Identifier
1902166572
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLIANCE HOME HEALTHCARE SERVICES LLC
Practice address
266 Brubaker Dr
New Carlisle, OH 45344
Phone
(937) 845-1486
Fax
(937) 845-1520
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mary D Pencil, RN
Title
Ceo
Phone
(937) 845-1486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

266 Brubaker Dr
New Carlisle, OH 45344

Mailing address

266 Brubaker Dr
New Carlisle, OH 45344-1414
Phone (937) 845-1486

Other identifiers 1

IdentifierTypeStateIssuer
0087158MedicaidOH

Other names 1

  • HomeSite Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120705000440 OH Part A Provider - Home Health Agency 1456516053 Practice locations: New Carlisle, OH

Home health agency certification: CCN 368481

Legal name
ALLIANCE HOME HEALTHCARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 10, 2013
Last certification
Jun 30, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 9, 2012 in OH
Enrollment address
266 Brubaker Dr
New Carlisle, OH 45344

Care Compare: Home health agency

Medicare Care Compare
Listed as
Homesite Home Health CareCCN 368481
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 10, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
36D2043535Alliance Home Healthcare Services LLC266 Brubaker Drive, New Carlisle, OH 45344Certificate of waiverJul 4, 2028

National Provider Directory

National Provider Directory

Locations

266 Brubaker Dr
New Carlisle, OH 45344
Phone (937) 845-1486

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
J & M Pencil LLC Organization, Springfield, OH LLC 5% Or Greater Direct Ownership Interest Oct 1, 2021 100%
Mary Pencil Individual Operational/Managerial ControlCeo Oct 1, 2021 100%

Facilities with the same owner 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1902166572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 BRUBAKER DR",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441414",
            "telephone_number": "937-845-1486",
            "fax_number": "937-845-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 BRUBAKER DR",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "45344",
            "telephone_number": "937-845-1486",
            "fax_number": "937-845-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "PENCIL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-845-1486",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeSite Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.