NPIMap

Organization Active NPI

Medical Housecalls LLC

Doing business as Supportive Healthcare

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1962745083
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MEDICAL HOUSECALLS LLC
Doing business as
Supportive Healthcare
Practice address
4850 Smith Rd Ste 250
Cincinnati, OH 45212-2796
Phone
(513) 699-9090
NPI assigned
Mar 27, 2013
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Joshua Holzman
Title
Ceo
Phone
(513) 699-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4850 Smith Rd Ste 250
Cincinnati, OH 45212-2796

Mailing address

PO Box 32160
Dept 107
Louisville, KY 40232-2160
Phone (513) 699-9090

Other practice location 1

630 W Main St Ste 209
Wilmington, OH 45177-2181
Phone (937) 383-2700

Other names 1

  • Supportive Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130523000367 OH Part B Supplier - Clinic/Group Practice 6709024268 Receives reassigned benefits from 76 practitioners
Practice locations: Cincinnati, OH; Dayton, OH; Salem, OH
O20240729002276 KY Part B Supplier - Clinic/Group Practice 6709024268 Receives reassigned benefits from 10 practitioners
Practice locations: Augusta, KY; Erlanger, KY; Falmouth, KY; Florence, KY; Fort Thomas, KY; Ft Wright, KY; Villa Hills, KY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4055 Executive Park Dr
Ste 115
Cincinnati, OH 45241
Phone (513) 531-9600

4850 Smith Rd
Cincinnati, OH 45212
Phone (513) 569-6750

5241 Morning Sun Rd
Oxford, OH 45056
Phone (512) 523-1844

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1962745083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32160",
            "address_2": "DEPT 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402322160",
            "telephone_number": "513-699-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SMITH RD STE 250",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122796",
            "telephone_number": "513-699-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W Main St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772181",
            "country_code": "US",
            "telephone_number": "937-383-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL HOUSECALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "HOLZMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-699-9090"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.