NPIMap

Organization Active NPI

Ashtabula Regional Home Health Services

Doing business as ACMC Regional Home Health

  • Home Health Agency
  • Ashtabula, OH
National Provider Identifier
1972507200
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NA Issued in OH
Legal business name
ASHTABULA REGIONAL HOME HEALTH SERVICES
Doing business as
ACMC Regional Home Health
Practice address
2131 Lake Ave Ste 2
Ashtabula, OH 44004-3466
Phone
(440) 992-4663
Fax
(440) 992-0687
NPI assigned
Jun 1, 2005
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Connie Fox
Title
Accounts Supervisor
Phone
(440) 997-6257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NA OH Primary

Addresses

Primary practice location

2131 Lake Ave Ste 2
Ashtabula, OH 44004-3466

Mailing address

PO Box 1428
Ashtabula, OH 44005-1428
Phone (440) 992-4663

Other names 1

  • ACMC Regional Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120423000749 OH Part A Provider - Home Health Agency 1052573847 Practice locations: Ashtabula, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972507200. Details of each certification follow.

Home health agency certification: CCN 367128

Legal name
ASHTABULA REGIONAL HOME HEALTH SERVICES
Doing business as
ACMC REGIONAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 1974
Last certification
Oct 19, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
2131 Lake Ave
Ste 2
Ashtabula, OH 44004-3466
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ashtabula Regional Home HealthCCN 367128 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Aug 19, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
36D0714879Ashtabula Regional Home Health2131 Lake Ave, Ste 2, Ashtabula, OH 44004Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Acmc Regional Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2131 Lake Ave
Ste 2
Ashtabula, OH 44004
Phone (440) 992-4663

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Katherine Hancock Individual Corporate Officer Jan 1, 2018
Roger Corlett Individual Corporate OfficerBoard of Trustees Member Jan 1, 2019
Craig Sernik Individual Corporate Officer Jan 1, 2018
Nancy Kister Individual Corporate Officer May 10, 1992
Emily Wood Individual W-2 Managing EmployeeDirector PFS Sep 28, 2015
Donald Chaplin Individual Corporate OfficerBoard Member Apr 3, 2024
Ashtabula County Medical Center Organization, Ashtabula, OH Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 1996 100%
James Timonere Individual Corporate Officer Jan 1, 2018
Shinoj Pattali Jayavalsan Individual Corporate OfficerBoard Member Feb 1, 2025
Jospeh Giangola Individual Corporate Officer May 10, 1992
Alanna Dames Individual Corporate OfficerCfo May 13, 2023
Leanne Frampton Individual W-2 Managing Employee Oct 1, 2024
Brian Jeffrey Harte Individual Corporate OfficerBoard Member Feb 1, 2025
David J Novak Individual Corporate OfficerBoard Member Jan 1, 2023
Jason Hergenroeder Individual Corporate Officer May 10, 1992
Sarah Bogardus Individual Corporate OfficerBoard Member Apr 3, 2025
Vernon Palo Individual Corporate Officer Jan 1, 2018
James Pearson Individual Corporate OfficerBoard Member Apr 3, 2025
David Pontius Individual Corporate Officer Jan 1, 2019
Leonard Stepp Individual Corporate OfficerCeo and President Feb 1, 2022

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

  • Glenbeigh

    dba Glenbeigh Health Sources

    • Special Hospital
    • Rock Creek, OH
    • NPI 1790761922

    Ashtabula County Medical Center

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 29

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1972507200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1428",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440051428",
            "telephone_number": "440-992-4663",
            "fax_number": "440-992-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 LAKE AVE STE 2",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043466",
            "telephone_number": "440-992-4663",
            "fax_number": "440-992-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTABULA REGIONAL HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "ACCOUNTS SUPERVISOR",
        "authorized_official_telephone_number": "440-997-6257"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACMC Regional Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.