CARE AT HOME BY GREEN HILLS LLC
NPI 1093067464
Home Health in West Liberty, OH

NPI Status: Active since October 10, 2012

Contact Information

6557 US HIGHWAY 68 S
WEST LIBERTY, OH
ZIP 43357
Phone: (937) 465-5065
Fax: (937) 465-4390

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Home Health
CLIA Number: 36D2052159
CLIA Cert. Type: Home Health Agency
CLIA Exp. Date: 01-06-2027

About CARE AT HOME BY GREEN HILLS LLC

This page provides the complete NPI Profile along with additional information for Care At Home By Green Hills Llc, a provider established in West Liberty, Ohio operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1093067464 assigned on October 2012. The practitioner's primary taxonomy code is 251E00000X with license number 2134558 (OH). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Mike Ray (Ceo)

NPI: 1093067464
Provider Name: CARE AT HOME BY GREEN HILLS LLC
Entity Type: Organization
Location Address: 6557 US HIGHWAY 68 S WEST LIBERTY, OH 43357
Location Phone: (937) 465-5065
Location Fax: (937) 465-4390
Mailing Address: 6557 US HIGHWAY 68 S WEST LIBERTY, OH 43357
Mailing Phone: (937) 465-5065
Mailing Fax: (937) 465-4390
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 10-10-2012
Last Update Date: 10-10-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Home Health
Taxonomy Code: 251E00000X
Type: Agencies
License No.: 2134558
License State: OH
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. MIKE RAY
Authorized Official Title: CEO
Authorized Official Phone: (937) 465-5065

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 36D2052159
Facility Type: Home Health Agency
Certificate Effective Date: January 07, 2025
Certificate Expiration Date: January 06, 2027
Laboratory Director: BONNIE J. ALLEN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Care At Home By Green Hills Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	9	3	0	6	7	4	6	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	18	3	0	6	14	4	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 6 + 1 + 4 + 4 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1093067464 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.