Provider Demographics
NPI:1306107347
Name:THE HILLS AT HOME, INC.
Entity type:Organization
Organization Name:THE HILLS AT HOME, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:OHMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:440-338-8220
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:OH
Mailing Address - Zip Code:44065-0265
Mailing Address - Country:US
Mailing Address - Phone:440-338-8220
Mailing Address - Fax:440-564-5721
Practice Address - Street 1:10190 FAIRMOUNT RD
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:OH
Practice Address - Zip Code:44065-9531
Practice Address - Country:US
Practice Address - Phone:440-338-8220
Practice Address - Fax:440-564-5721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
369021Medicare Oscar/Certification