Southwest Ohio Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTHWEST OHIO HOME CARE LLC

Practice address

5624 Heckathorn Rd
Brookville, OH 45309-8305

Phone

(937) 913-4314

Fax

(937) 870-1323

NPI assigned

May 12, 2023

Last updated

Oct 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin M Davenport, LPNNPI 1538856042

Title

Adon

Phone

(937) 913-4314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992495865. Details of each certification follow.

• CCN 367775 Home health agency · Active · Details

Home health agency certification: CCN 367775

Legal name

SOUTHWEST OHIO HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 24, 2001

Last certification

Jun 13, 2014

Ownership / control type

Proprietary

Most recent change of ownership

May 31, 2023

Organization structure

LLCProprietary

Incorporated

Mar 24, 2023 in OH

Enrollment address

5624 Heckathorn Rd
Brookville, OH 45309-8305

Listed as

Southwest Ohio Home Care LLCCCN 367775 · All quality measures

Ownership

Proprietary

Certified

Jan 24, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Choice Health Care LTD

  dba Compass Home Care of Southwest Ohio

  • Home Health Agency
  • Dayton, OH
  • NPI 1801921853

  Acquired from, 2023-05-31

  CMS change of ownership

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.

• Erin M Davenport, LPN

  • Home Health Agency
  • Brookville, OH
  • NPI 1538856042
  NPD Authorized official

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1992495865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 HECKATHORN RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098305",
            "telephone_number": "937-913-4314",
            "fax_number": "937-870-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 HECKATHORN RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098305",
            "telephone_number": "937-913-4314",
            "fax_number": "937-870-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OHIO HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADON",
        "authorized_official_telephone_number": "937-913-4314",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony H Shaffer, D.C.
• Randall R Shaffer, D.C.
• Tonya Lynn Singleton, LPN
• Melissa Dawn Slack, APRN
• Deborah Dawn Smith, RN
• Brian Keith Stinson Jr.
• Studebaker Family Practice Inc.
• Jeffrey Bruce Studebaker, M.D.
• Vanessa Gayle Taylor, RN
• Transitions Counseling & Wellness, LLC

• Home Health Agency in Brookville, OH
• Providers in Brookville, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.