Ashtabula Regional Home Health Services
Organization Active NPI Home Health Agency · Ashtabula, OH
NPI 1972507200 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1972507200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- NA (OH)
- Legal business name
- ASHTABULA REGIONAL HOME HEALTH SERVICES
- Practice address
- 2131 Lake Ave Ste 2
Ashtabula, OH 44004-3466 - Phone
- (440) 992-4663
- Fax
- (440) 992-0687
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Connie Fox
- Title
- Accounts Supervisor
- Phone
- (440) 997-6257
Owners & managing parties with NPI records 5
-
Brian J Harte, M.D.
-
David J. Novak, M.D.
Corporate family (same tax ID) 1
Member of 1
Facilities with the same owner 1
Practitioners 1
Affiliated clinicians 29
-
Jennie Ashley, NP
-
Glenn Beck, DO
-
Amanda Dawn Bovee, CNP
-
Emily Ann Cheich, D.O.
-
Suk Kon Choi, MD
-
Laxman Reddy Cingireddi, M.D.,
-
Henry D Debiec, DO
-
Michelle Lynn Dunbar, DPM
-
Jennifer Glaettli, CNP
-
Constance D Kelly, CRNP
-
Samantha Nichole Kiefer, D.O.
-
John Lee, DO
-
Angelia Marie Majors, CNP
-
Olusegun Ademola Ogunlesi, M.D, M.H.S
-
Parminder Singh, M.D.
-
Micala M Socko, NP
Medicare Care Compare: Home health agency
- Listed as
- Ashtabula Regional Home Health
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Non-Profit
- Certified
- Aug 19, 1974
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0714879 | Ashtabula Regional Home Health | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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
- Corporation · Non-profit
- Enrollment address
- 2131 Lake Ave
Ste 2
Ashtabula, OH 44004-3466
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Katherine Hancock |
Corporate Officer | Jan 1, 2018 | |
| Roger Corlett |
Corporate Officer |
Jan 1, 2019 | |
| Craig Sernik |
Corporate Officer | Jan 1, 2018 | |
| Nancy Kister |
Corporate Officer | May 10, 1992 | |
| Emily Wood |
W-2 Managing Employee |
Sep 28, 2015 | |
| Donald Chaplin |
Corporate Officer |
Apr 3, 2024 | |
| Ashtabula County Medical Center |
5% Or Greater Direct Ownership Interest | Dec 1, 1996 | 100% |
| James Timonere |
Corporate Officer | Jan 1, 2018 | |
| Shinoj Pattali Jayavalsan |
Corporate Officer |
Feb 1, 2025 | |
| Jospeh Giangola |
Corporate Officer | May 10, 1992 | |
| Alanna Dames |
Corporate Officer |
May 13, 2023 | |
| Leanne Frampton |
W-2 Managing Employee | Oct 1, 2024 | |
| Brian Jeffrey Harte |
Corporate Officer |
Feb 1, 2025 | |
| David J Novak |
Corporate Officer |
Jan 1, 2023 | |
| Jason Hergenroeder |
Corporate Officer | May 10, 1992 | |
| Sarah Bogardus |
Corporate Officer |
Apr 3, 2025 | |
| Vernon Palo |
Corporate Officer | Jan 1, 2018 | |
| James Pearson |
Corporate Officer |
Apr 3, 2025 | |
| David Pontius |
Corporate Officer | Jan 1, 2019 | |
| Leonard Stepp |
Corporate Officer |
Feb 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120423000749 | OH | Part a Provider - Home Health Agency | 1052573847 | Practice locations: Ashtabula, OH |
National Provider Directory
- Tax ID family
- Acmc Regional Home Health
Locations
2131 Lake Ave
Ste 2
Ashtabula, OH 44004
Phone (440) 992-4663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NA | OH | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0254479 | Medicaid | OH |
Other names
- ACMC Regional Home Health
Other providers in Ashtabula, OH
- Ashtabula OB & Gyns Inc
- Ashtabula OB & Gyns Inc
- Ashtabula Orthopaedics, Inc.
- Ashtabula Pulmonary Associates Inc
- Ashtabula Regional Home Health Services
- Ashtabula Renal Care Group, LLC
- Ashtabula Sleep Medicine LLC
- Ashtabula Surgery Center LLC
- Ashtabula Surgery Center, Inc
- Ashtabula Surgery Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. 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.