Country Angels Home Health Care – Home Health Agency, NPI 1245442011

Country Angels Home Health Care is a healthcare provider. based in Urbana, Ohio. specializing in Home Health Agency. The organization holds a License No. OH03566 (OH). The NPI Number for Country Angels Home Health Care is 1245442011

Main info

Organization
Name
Country Angels Home Health Care
NPI
1245442011
Phone
(937) 772-9500
Address
1303 N MAIN ST
Authorized Official
MS. MARY D PENCIL ADMINISTRATOR RN
Enumeration Date
4 May 2007
Last Update Date
28 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Country Angels Home Health Care

  • 1303, North Main Street, Urbana Monument Square Historic District, Urbana, Champaign County, Ohio, 43078, United States

    URBANA, OH 430781027

    Phone: (937) 772-9500

    Fax: (937) 772-9199

    Type: Mailing

  • 4800 URBANA RD STE 103

    SPRINGFIELD, OH 455028323

    Phone: (937) 717-0158

    Fax: (937) 717-0139

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031217000121OHome Health AgencyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43078)

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Reviews

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Frequently asked questions

Can I verify Country Angels Home Health Care with an NPI only?
You can start verification with NPI 1245442011 for Country Angels Home Health Care, then check state licensing separately.
Is Country Angels Home Health Care still practicing?
Country Angels Home Health Care is currently listed as active in the public NPI registry.
What is Country Angels Home Health Care's primary classification?
Home Health Agency is the headline specialty for Country Angels Home Health Care here. Clinical services aligned with this taxonomy classification.
Does Country Angels Home Health Care list a practice location?
Patients near Urbana, Ohio may find Country Angels Home Health Care in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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