County of Putnam Office of Auditor
Organization Active NPI Nursing Care Agency · Ottawa, OH
NPI 1902802481 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1902802481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- NO LICENSE # ISSUED (OH)
- Legal business name
- COUNTY OF PUTNAM OFFICE OF AUDITOR
- Practice address
- 575 Ottawa Glandorf Rd Ste 3
Ottawa, OH 45875-1932 - Phone
- (419) 523-4449
- Fax
- (419) 523-6328
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Christopher Trent Boop, PT, DPT
- Title
- Director of Operations
- Phone
- (419) 523-4449
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Practitioners 3
-
Brooke M Cassidy, CNP
-
Stacy Jo Klass, CNP
Affiliated clinicians 23
-
Ali Chohan, MD
-
Lance P Criblez, M.D.
-
Paige Frey, CNP
-
Brendon J Hovest, C.N.P.
-
Mandy A Klass, M.D.
-
Wesley A Klir, MD
-
Melissa Ann Langhals, CNP
-
Justin Donald Laudick, BSN-RN, NP-C
-
Jennifer R Maag, MD
-
Tyler J Maag, FNP-BC
-
Nicole Martin, CNP
-
Alisa J. Marzec, MD
-
Steven K McCullough, D.O.
-
James L Niese, CNP
-
James J Patterson, M.D
-
Anne Marie Sielschott, APRN.CNP
-
Megan Strauer, APRN, FNP-C
-
Michael J Wieser, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Putnam County Homecare
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Government Operated
- Certified
- Jul 26, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Home health agency certification: CCN 367076
- Legal name
- COUNTY OF PUTNAM OFFICE OF AUDITOR
- Doing business as
- PUTNAM COUNTY HOMECARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 26, 1966
- Last certification
- Dec 11, 2009
- Ownership / control type
- Government Operated
- Organization structure
- Government · Non-profit
- Incorporated
- in OH
- Enrollment address
- 575 Ottawa Glandorf Rd
Ste 3
Ottawa, OH 45875-1932
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly Rieman |
Corporate Director | Jul 12, 2019 | 100% |
| Operational/Managerial Control | Jul 12, 2019 | 100% | |
| Jacinta C. Eickholt |
Corporate Director |
Jul 1, 2013 | 100% |
| W-2 Managing Employee |
Jul 1, 2013 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071129000121 | OH | Part a Provider - Home Health Agency | 0143244566 | Practice locations: Ottawa, OH |
National Provider Directory
- Tax ID family
- County of Putnam
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | NO LICENSE # ISSUED | OH | Yes |
Addresses
Primary practice location
575 Ottawa Glandorf Rd Ste 3
Ottawa, OH 45875-1932
Mailing address
575 Ottawa Glandorf Rd
Ottawa, OH 45875-1932
Phone (419) 523-4449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044428 | Medicaid | OH | |
| 000000157607 | Other | OH | ANTHEM BCBS |
| 0044428 | Other | OH | BCMH |
| 6900143 | Other | OH | MR/DD |
Other names
- Putnam County HomeCare
- Putnam County HomeCare and Hospice
Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.