Organization Active NPI

Healing Springs Med-Care LLC

  • Home Health Agency
  • Cincinnati, OH
National Provider Identifier
1912283722
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING SPRINGS MED-CARE LLC
Practice address
1821 Summit Rd
Ste 200
Cincinnati, OH 45237-2822
Phone
(513) 885-1060
NPI assigned
Oct 25, 2011
Last updated
Nov 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Kenneth A Uwaezuoke
Title
Administrator
Phone
(513) 885-1060

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Skilled Nursing Facility 314000000X OH
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1821 Summit Rd
Ste 200
Cincinnati, OH 45237-2822

Mailing address

1821 Summit Rd
Ste 200
Cincinnati, OH 45237-2822
Phone (513) 885-1060

Other identifiers 1

IdentifierTypeStateIssuer
7416570001OtherOHPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140620000240 OH Part A Provider - Home Health Agency 7416171129 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912283722. Details of each certification follow.

Home health agency certification: CCN 369136

Legal name
HEALING SPRINGS MED-CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 12, 2016
Last certification
Aug 21, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 3, 2011 in OH
Enrollment address
1821 Summit Rd
Ste 200
Cincinnati, OH 45237-2819
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Springs Med-Care LLCCCN 369136 · All quality measures
Ownership
Proprietary
Certified
Apr 12, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Kenneth Uwaezuoke Individual 5% Or Greater Direct Ownership InterestOwner Sep 25, 2018 100%
W-2 Managing EmployeeOwner Sep 25, 2018 100%

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1912283722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SUMMIT RD",
            "address_2": "STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372822",
            "telephone_number": "513-885-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SUMMIT RD",
            "address_2": "STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372822",
            "telephone_number": "513-885-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SPRINGS MED-CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "UWAEZUOKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-885-1060"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7416570001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.