COMMUNITY MEMORIAL HOSPITAL HOME HEALTH (NPI# 1457811713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457811713 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL HOME HEALTH |
| Practice Address |
120 E High St Hicksville OH 43526-1107 |
| Practice Telephone | 4195426692 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | MICHELLE WAGGONER (CEO) |
| Authorized Official Telephone | 4195425566 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY MEMORIAL HOSPITAL |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 361301 | 05 |
| Other Name | Type Code |
|---|---|
| Community Memorial Hospital | Doing Business As Name - Organization |
| Street Address |
120 E HIGH ST |
| City | HICKSVILLE |
| State | OH |
| Zip Code | 43526-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534177 | Desare R Wilhelm | Massage Therapist | 104 E. High St., Hicksville, OH 43526 | 2011-09-29 |
| 1326133380 | Michael Stewart Boggs | Dentist | 106 North Bryan Street, Hicksville, OH 43526 | 2006-10-04 |
| 1831201417 | Julie K Barth | Audiologist | 119 N. Main St, Hicksville, OH 43526 | 2006-08-31 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1376845370 | Cory T Hammond | Physician Assistant | 208 Columbus St, Hicksville, OH 43526 | 2010-11-23 |
| 1356580294 | Vasavi K Reddy | Family Medicine | 208 Columbus Street, Hicksville, OH 43526 | 2009-02-17 |
| 1417978776 | Matthew C Grothaus | Orthopaedic Surgery | 208 Columbus St, Hicksville, OH 43526 | 2006-07-22 |
| 1730165242 | Fort Wayne Cardiology Corporation | Internal Medicine | 208 Columbus St, Hicksville, OH 43526 | 2005-12-16 |
| 1326685728 | Chelsea Kelly Dds LLC | Dentist | 106 N Bryan St, Hicksville, OH 43526-1004 | 2019-12-04 |
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| Find all providers in zip 43526 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349134 | Sequoia Home Care Inc. | Home Health | 115 Newbridge Rd, Hicksville, NY 11801-3908 | 2020-06-05 |
| 1417495755 | Cornerstone Home Care Services Inc. | Home Health | 93 N Fordham Rd, Hicksville, NY 11801-6064 | 2017-02-07 |
| 1164830436 | Manjeet Kaur | Home Health | 52 Princess St, Hicksville, NY 11801-1110 | 2014-07-30 |
| 1568885101 | Dave C. Dineros, Physical Therapist,p.c. | Home Health | 7 Ronald Ave, Hicksville, NY 11801-2105 | 2014-02-03 |
| 1013347418 | Right At Home | Home Health | 14 Holman Blvd, Hicksville, NY 11801-2829 | 2013-11-21 |
| 1912346644 | Gfm Rehab Physical Therapy P.C. | Home Health | 56 Wyckoff St, Hicksville, NY 11801-2836 | 2013-06-15 |
| 1184759862 | Home Care Therapies | Home Health | 20 Jerusalem Ave, Hicksville, NY 11801-4980 | 2007-02-22 |
| 1467587360 | Tender Loving Care Health Care Services of Long Island, L.L.C. | Home Health | 99 Railroad Station Plaza, Suite 100, Hicksville, NY 11801-2898 | 2007-02-22 |
| 1003961426 | Cottage Homecare, Services, Inc | Home Health | 25 Newbridge Rd Ste 302, Hicksville, NY 11801-2887 | 2007-01-24 |
| 1891874095 | Attentive Care, Inc. | Home Health | 76 N Broadway, Hicksville, NY 11801-2909 | 2006-11-06 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 43526 |
Please comment or provide details below to improve the information on COMMUNITY MEMORIAL HOSPITAL HOME HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.