Provider Demographics
NPI:1295718567
Name:HOMEREACH
Entity type:Organization
Organization Name:HOMEREACH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR COO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCWHORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-544-4414
Mailing Address - Street 1:800 MCCONNELL DR STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3463
Mailing Address - Country:US
Mailing Address - Phone:614-566-5377
Mailing Address - Fax:
Practice Address - Street 1:444 W UNION ST STE B
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2340
Practice Address - Country:US
Practice Address - Phone:614-566-5377
Practice Address - Fax:614-533-6200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIOHEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-21
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
315D00000X
OH0039HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0820259Medicaid
OH361516Medicare Oscar/Certification