PROVIDENCE HOME HEALTH CARE SERVICES LLC (NPI# 1992099915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992099915 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOME HEALTH CARE SERVICES LLC |
| Practice Address |
791 Vista Dr Gahanna OH 43230-5938 |
| Practice Telephone | 6148596167 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |
| Authorized Official Name | MOHAMED WARSAME (PRES) |
| Authorized Official Telephone | 6148596167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | OH | Agencies |
| Street Address |
791 VISTA DR |
| City | GAHANNA |
| State | OH |
| Zip Code | 43230-5938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
| 1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
| 1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
| 1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
| 1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
| 1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
| 1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
| 1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
| Find all providers in zip 43230 | ||||
| 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 |
|---|---|---|---|---|
| 1134729395 | Alisa Lawrence | Home Health | 3860 Julia Ct, Gahanna, OH 43230-4133 | 2020-10-27 |
| 1548877442 | Progressive Home Care LLC | Home Health | 623 Piney Glen Dr, Gahanna, OH 43230-8420 | 2020-09-25 |
| 1083170377 | Alliance Health Services, LLC | Home Health | 620 Kensington Dr, Gahanna, OH 43230-8426 | 2019-02-12 |
| 1801375563 | American Primary Healthcare, LLC | Home Health | 800 Cross Pointe Rd Ste K, Gahanna, OH 43230-6688 | 2018-08-13 |
| 1508342478 | Bright Star Home Health Care LLC | Home Health | 753 Cross Pointe Rd Ste H, Gahanna, OH 43230-7046 | 2018-07-13 |
| 1114445251 | Hilda Lyatuu | Home Health | 4150 Rita Joanne Ln, Gahanna, OH 43230-4060 | 2017-09-08 |
| 1427478015 | Svh Holdings LLC | Home Health | 4322 N Hamilton Rd, Gahanna, OH 43230-1710 | 2014-04-22 |
| 1023350774 | Premium Home Health Care Inc | Home Health | 3916 Roxham Ct, Gahanna, OH 43230-4518 | 2013-03-20 |
| 1053682401 | Aag Home Healthcare, LLC | Home Health | 145 W Johnstown Rd, Gahanna, OH 43230-2700 | 2012-01-17 |
| 1023313277 | Trinity Home Healthcare, LLC | Home Health | 800 Cross Pointe Rd Ste Q, Gahanna, OH 43230-6690 | 2011-01-19 |
| Find all providers in GAHANNA | ||||
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| 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.